The Hogue Foundation Lift As We Climb Mentorship (FALL Mentee) Registration 25'

Lift As We Climb Mentorship Registration (FALL) 25'

The Hogue Foundation (Mentees Only)
Name (Mentee)*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
What school do you attend?*
Race or Ethnicity*
Gender*
Mentee Phone Number*
Please enter a valid phone number.
Mentee Email*
example@example.com
Address*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Language Proficiencies
Your Hobbies and Interests*

Visual ArtsElectronic GamesFilm TravelMusicVolunteeringPoliticsReading (Fantasy/Fiction)SportsLiterary WorksOther
What Best Describes you*

OutgoingBusiness-orientedConstructiveEmpatheticFunnyLivelyIntuitivePassionateReservedReflectiveVibrant
Professional Interest or Expertise*

Arts and EntertainmentBusiness and DevelopmentConsultancyEducationEngineeringFinancial ServicesHealth Care and MedicineInformation TechnologyLegal and LitigationMarketing and AdvertisingNon-Profit AdministrationPoliticsPublishingScience and Technology
Which role you would like your Mentor to be in your life?

ColleagueNurturerListenerTeacherMotivatorCareer DevelopmentLife CoachIndustry CoachOther
Areas where you hope your mentor will make an impact

Knowledge and Practice of Professional EtiquetteFocus and practice on the Field of CareerProfessional Network ExpansionPersonality DevelopmentCommunication Skills Improvement
Have you had mentoring before?*

YesNo
Your Preference of Communication with your Mentor

emailtextphone
Your Preferred Mentor*

MaleFemaleNo preference
Are you interested in taking Civil Service exams? For example, a police officer, firefighter, court officer, and etc.

YesNo
Your Personal Information
Tell us something about yourself*
Are you planning to attend college? Please state why or why not and include major.*
Where do you see yourself in five years*
What are your expectations in this Mentoring program
Parent/Guardian Signature*

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Lift As We Climb Mentorship Registration (FALL) 25'

Your Personal Information