Queens Building Queens Mentoring Program

Welcome to Queens Building Queens - Mentoring Program Application! We are very glad to know you are interested in participating in our program and achieving all of your dreams. Please carefully read this application. Make sure the information you provide is complete and accurate. Also, please do not leave any blank space. If you have any questions/issues, do not hesitate to reach us at info@queensbuildingqueens.org

We look forward to seeing you for our next session!
- Full Name
  
  First NameMiddle NameLast Name
- Birth Date
  
  MonthDayYear
- Gender
- Mobile Number
  
  Area CodePhone Number
- Mobile Number 2
  
  Area CodePhone Number
- E-mail
- Current/Mailing Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Have you ever been convicted of a felony? If yes, explain.
  Background
- Facebook Profile
  Social Media
- LinkedIN Profile
- Instagram Profile
- Highest level of education
- Are you participating in any other mentoring program? If yes, which one?
  
  Other
- Activity 1
- Activity 2
- Activity 3
- Achievements
- Hobbies / Interests
- Other Hobbies/ Interests
- In the short questions, we ask you to briefly talk about your main idea and points, being concise and direct as well as explanatory.
- explain why you want to participate in the Queens Building Queens mentoring Program
  
  0/250
- In working with girls in adolescence, we often times have to guide our mentees in many different social situations such as substance abuse, sex, and other relationships. How, as a mentor, would you go about providing guidance for issues such as this?
  
  0/250
- Some say social media is superficial, with no room for expressing deep or complex ideas. We challenge you to defy these skeptics by describing yourself as fully and accurately as possible in the 140-character limit of a tweet.
  
  0/140
- Essays are the opportunity for you to differ yourself from others and shine. Be direct, descriptive, and creative. This is your time!
  
  You are about to write two essays: one Personal Statement, which the prompt is the same for all applicants. In addition, you will also need to work on a Writing Supplement, which you will be able to choose from the five options listed below.
  
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  Your Personal Statement is very important for us to better understand who you are. Please write your Personal Statement in no less than 75 words and now more than 150 words:
  
  Personal Statement Prompt: Describe the world you came from and how that shaped who you are.
- Personal Statement
  
  0/650
- Your second essay is your Writing Supplement. Now, you have the opportunity to detail more about yourself. You will be able to pick one out of the four (4) essay prompts below. Please bear in mind that you need to write your essay in no less than 75 words and no more than 150 words.
  
  Be awesome. Be creative. Be yourself.
- Writing Supplement Prompts: choose the one you are writing about.
- Writing Supplement
  
  0/650
- In order to better evaluate you, we ask you to attach some documents. Please, notice that we ask you to send all the documents in good quality and in one of the following formats .PDF or .JPEG.
  
  The limit size per file is 500kb.
  
  Required documents:
  
  - Copy of drivers license or photo identification card(cannot be expired)
  
  -Recommendation letter(if bypassed, still must be submitted prior to start of program)
- Recommendation Letter
  
  Upload a File
  
  Cancelof
- Form of Identification
  
  Upload a File
  
  Cancelof
- Please provide below your weekly availability below. Will you be able to commit at least 2 weekend days a month to the program?
- Is there any other information that you would like to share with us?
- Did you have any problem while filling out this form? If so, please report it below
- Do you agree to submit to us your personal, familiar, and educational information and are aware that we will not use those informations instead of and only for Queens Building Queens Program's purposes? Also, be sure that once you submit this Application Form you will not be able to do any changes or remove any information. You confirm to be submitting only truth information, otherwise your Application might be canceled and you will not be able to be admitted for the Queens Building Queens Program Mentoring
- Signature
- Should be Empty: