Jacob's Ladder Mentee Preferences

Jacob's Ladder Mentee Preferences

We want to learn more about you to match you with a mentor. Please answer as honestly as you can. If you feel uncomfortable answering a question not marked with an asterisk, you don't have to answer it.
Students name?

First NameLast Name
Parent/Guardian's name?

First NameLast Name
2nd Parent/Guardian's name?

First NameLast Name
How old are you?
What grade are you in?
What is your phone number?
Please enter a valid phone number.Format: (000) 000-0000.
What is your living situation?
Do you have any brothers or sisters?
What is your favorite food
What extracurricular activities do you enjoy? (Choose all that apply)
What sports do you like?
What is your favorite subject in school?
What is your least favorite subject in school?
How do you feel about your school performance?
Do you have a career path in mind or know what you want to do when you graduate high school?
What pets do you have?
What are your favorite colors? (Choose up to 3)
What are your favorite TV shows or Movies?
How do you define your personality?
How do you define your mental health?
Is there anything you want to share about yourself?
What would you like your mentor to help you with?
Should be Empty: