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Mentee Application
**To Be Completed by Custodial Parent
Student First & Last Name
Guardian Full Name
Email
Phone
Date of Birth
Student Age
Street Address
City
Region/State/Province
Postal / Zip code
Country
Country
Emergency Contact Information
School Attending
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Student Survey
**To Be Completed by Student
First name
Last name
What are some favorite things you like to do with other people?
What are your favorite subjects in school?
What are your favorite subjects in school?
If you could learn about a job/career, what would it be?
What is one goal you have set for the future?
If you could learn something new, what would it be?
What person do you most admire and why?
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