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Mentor Registration
Thanks for being interested in mentoring with Austin Partners in Education (APIE)! Please complete the registration form. This information helps APIE and the school pair you with a student for mentoring.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Were you an APIE mentor for a middle or high school student last year?
Yes
No
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What is your date of birth?
*
-
Month
-
Day
Year
Date
Why are you interested in mentoring a middle or high school student?
*
Where would you like to mentor? Please pick one option. This can be changed after orientation.
*
Austin ISD middle school
Austin ISD high school
Selected Middle or High School
If you prefer a specific middle or high school, please share the name of the school.
Who is your current employer? If you do not have a current employer, please provide details (for example: college student, retired, etc)
*
What is your gender?
*
Male
Female
Nonbinary
Trans
Not listed
Please select the highest education level you've completed?
*
Some high school
High school diploma or GED
Some college
Associate's degree
Bachelor's degree
Master's degree or Ph. D
Trade school
Other
What is your racial and/or ethnic background?
*
What languages do you speak fluently or conversationally?
*
What experience, if any, do you have mentoring, volunteering, or working with youth?
*
Please provide 3 adjectives to describe your personality (for example: patient, outgoing, creative, etc)
*
Please share any life experiences or areas of expertise that may be relatable to students. (Examples: parents divorced as a child, first-generation college student).
*
What are some of your interests, hobbies, and skills?
*
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What is your availability during the school week - Monday through Friday between 8am - 4pm? (Examples: Monday 11am-1pm. T/TH Noon - 4pm, Flexible schedule)
*
Please verify that you are human
*
Submit
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