Mentee Questionnaire
Thank you for your interest! Please answer these questions as thoroughly as you can =)
Todays Date
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Month
-
Day
Year
Date
Name
*
First Name
Last Name
Age
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Why are you interested in a mentor and what would you like to get out of your mentorship?
*
How would you prefer to communicate with your mentor?
*
Email
Phone
Virtual
Face to Face (Recommended)
What are you passionate about?
*
What motivates you?
*
What extracurricular activities do you enjoy?
*
Do you have transportation?
*
Do you have children or are currently expecting?
*
How far along are you in your pregnancy?
*
When is your due date?
*
What do you find most difficult about motherhood?
*
How do you feel about possible ethnic, religious, and/or racial differences between you and your mentor?
*
What expectations do you have about the relationship you may have with your Mentor?
*
Can you commit to meeting with your mentor twice a month? Can you keep communication with your mentor weekly?
*
Do you agree to respect the boundaries set forth by your mentor?
*
Explain your availability, if needed.
*
Would you like to ask me anything about the Melanin Mommies Pgh, Inc.?
*
Submit
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