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Mentor Application

Welcome

Thank you for your interest in our mentoring program and for completing this application. All information collected on this application will be kept confidential within the mentoring program.

Mentor Application Process
  • Fill out application
  • Attend group Zoom interviews (July 28 - August 8) 
  • Pass a background check
  • Complete 1 hour online training
  • Complete 4 hour in person training (August 16 or 30)
Contact Information
This question requires a valid email address.
Please provide a 10-digit phone number including area code.
Enter numbers only. Formatting such as dashes will be added as you enter your phone number.
This question requires a valid date format of MM/DD/YYYY.
calendar
Gender *This question is required.
Select all that apply:  *This question is required.
Have you had past mentoring experience?  *This question is required.
Have you mentored with Primos before? *This question is required.
Would you like to keep your mentee?  *This question is required.
What is your preferred Mentee Gender? *This question is required.
Have you ever been convicted of a crime? *This question is required.
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