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Mentor Registration
Thanks for your interest 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.
Legal First and Last Name (as it appears on your government ID)
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First Name
Last Name
Preferred First Name (if different from above)
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
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example@example.com
Email Address Hidden
example@example.com
Where would you like to mentor? Please pick one option. This can be modified after the program manager reviews your form.
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Austin ISD middle school
Austin ISD high school
If you prefer a specific middle or high school, please share the name of the school.
Selected Middle or High School
Were you an APIE mentor for a middle or high school student last year?
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Yes
No
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What is your date of birth?
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Month
-
Day
Year
Date
Your current residential address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why are you interested in mentoring a middle or high school student?
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Who is your current employer? If you do not have a current employer, please provide details (for example: college student, retired, etc)
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What is your gender?
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Male
Female
Nonbinary
Trans
Not listed
Please select the highest education level you've completed?
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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?
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What languages do you speak fluently or conversationally?
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What experience, if any, do you have mentoring, volunteering, or working with youth?
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Please provide 3 adjectives to describe your personality (for example: patient, outgoing, creative, etc)
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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).
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What are some of your interests, hobbies, and skills?
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New Mentor Orientation
New mentors must attend an orientation. They are held virtually on Zoom and scheduled during the most common times mentors meet with students. APIE will contact you to set up an orientation time.
Please select a time that works best for you. You will receive a Zoom link and a reminder before the orientation.
Wednesday February 26th: 11:00 AM - 12:30 PM
Friday February 28th: 12:00 PM - 1:30 PM
Tuesday March 4th: 12:00 PM - 1:30 PM
Thursday March 6th: 11:00 AM - 12:30 PM
Friday March 7th: 12:00 PM - 1:30 PM
Event-Training Id
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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)
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Please verify that you are human
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Submit
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