Please complete all information and answer all questions. Only complete forms will be processed! All information provided remains confidential and is used for both safety and funding purposes.
Evidence of Community / Campus Involvement
Please provide relevant information, with most recent position held first.
Please answer all of the following questions as completely as possible.
Please read carefully before signing:
G.I.R.L.S. Club appreciates your interest in becoming a mentor.
Please select from each of the following.
By signing below, I attest to the truthfulness of all information listed on this application and agree to all above terms and conditions.
Please list three references whom you would like to use as character references (only people you have known for at least a year). Include at least one relative and one supervisor. Any information G.I.R.L.S. Club gathers from these references will be held as confidential and not released to you, the applicant.
Affirmation: The above information is true to the best of my knowledge. I grant permission to contact my references provided.
Mentor Interest Survey
Please complete all of the following. This survey will help G.I.R.L.S. Club know more about you and your interest.