Mentee Application | Aplicación de registro para estudiantes

Thank you for your interest in enrolling your child in the Community-Based Mentoring Program!
We truly appreciate your partnership in supporting the success and well‑being of students in our community.

ATTENTION: Senior Registration Deadline for Scholarship Eligibility is September 30, 2026!
To be eligible for Community-Based Mentoring Program scholarships during the 2026-2027 school year, graduating seniors must submit a completed program application by September 30, 2026. Applications submitted after this date will still be accepted for program participation; however, those students will not be eligible for scholarship consideration.
This deadline has been established to maximize the positive impact of the mentoring experience for both mentors and mentees by ensuring students have sufficient time to engage meaningfully in the program throughout the school year. It also provides a consistent data collection point that allows the program to measure student growth, progress, and outcomes using comparable data across all participating seniors. Establishing a common enrollment deadline helps ensure fairness in the evaluation process and supports the program's ability to demonstrate effectiveness, secure funding, and sustain scholarship opportunities for future students

Mentee Information
Información del estudiante

First Name | Primer nombre *This question is required.

Last Name | Apellido *This question is required.

Student Number
Numero de estudiante *This question is required.

Gender
Genero *This question is required.

What languages are spoken in the household?
Que otro idioma(s) hablan en la casa? *This question is required.

English | Ingles
Arabic | Arabe
Chinese (Mandarin, Cantonese) | Chino (Mandarín, Cantones)

French | Frances
Korean | Koreano
Somali | Somalí

Spanish | Español
Swahili | Suajili
Tagalog | Tagalog

Vietnamese | Vietnamita
Other | Otro

If you said other, please specify.
Si usted indico otro, por favor escriba cual es el idioma. *This question is required.

School Level
Nivel escolar *This question is required.

School
Escuela *This question is required.

Activities of Interest to student (Please check all the activities that interest you):
Actividades que le gustan/interesan al estudiante (Por favor marque todas las que le guste): *This question is required.

If you said other, please specify.
Si dijo otro, por favor especifique.

Parent/Guardian Name
Información de los padres o tutores legales

First Name | Primer nombre *This question is required.

Last Name | Apellido *This question is required.

Parent/Guardian Phone Number
Número de teléfono de los padres o tutores legales

Phone Number | Número de teléfono *This question is required.

Parent/Guardian Email Address
Correo electrónico de los padres o tutor legal *This question is required. This question requires a valid email address.

Communication Preferences
Como le gustaría que nos comunicáramos con usted *This question is required.

Email | Correo electrónico
Phone | Teléfono
Text | Mensaje de texto
Mail | Correo regular

Mentee Application | Aplicación de registro para estudiantes

Welcome | Bienvenidos