SHINE For Girls - Utah Mentor Application
Full Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
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Phone Number
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Area Code
Phone Number
E-mail
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School
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Class Year
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Why are you interested in SHINE?
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Please list any relevant experience with dancing, working with kids, or teaching/tutoring math.
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Availability
Are you able to attend all SHINE session? If not, please use this area to explain any scheduling conflicts:
Are you willing to interview for this position?
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Yes
No
How did you hear about SHINE?
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Submit!
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