Are you interested in being a mentor for students aged 11–17?
*
Yes
No
First & Last Name
*
First Name
Last Name
Company and Professional Title
City
US State
*
Please Select
Alabama
Alaska
Arizona
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California
Colorado
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Delaware
Florida
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Maryland
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Washington DC
ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST
Phone Number
Please enter a valid phone number.
Email Address
*
example@example.com
How many hours a month can you dedicate to virtual mentorship?
*
1–3 hrs/mo
3–6 hrs/mo
6+ hrs/mo
If we have in-person events in your area in the future, would you be interested in volunteering?
Yes
No
Have you ever been a mentor to 6th–8th grade girls?
Yes
No
What skills or gifts will you be able to utilize as a mentor?
Do you know any middle school girls of color who would be interested in participating as a mentee?
Yes (Contact Me)
No
Do you have any resources or insights that may help our mission? (e.g., school administrator contacts, valuable connections, CSR insights, donations, etc.)
Are you interested in being a committee member in the future?
Yes
No
Submit Application
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