Online Mentee Program Application - Spring 2025 Application

Please complete this form as step1 in the application process. Should you have any questions, please contact the Chamber at 325-1961 or email mentor@westmonroechamber.org

Parent or Guardian Contact Details

Parent or Guardian Contact Full Name:

First Name *

Last Name *

Parent or Guardian Email address: *

Parent or Guardian Contact Mobile Number with Area Code *

Parent or Guardian Mailing Address Block

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Any details we should know to create the best possible experience for your child? (optional)

Mentee Information Section:

Students Contact Full Name:

First Name *

Last Name *

Student's Email Address. NOTE: cannot be school assigned email due to spam filters *

Student Age: *

Student Grade Level: (or equivalent grade for home school) *

Freshman (9th Grade) Sophomore (10th Grade) Junior (11th Grade) Senior (12th Grade)

Student's School Attending (Note: home school students please note "home school") *

Student's Mailing Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Describe student's natural talents and strengths: *

Describe student's career goals: *

Describe student's educational goals: *

Describe student's job shading interest. Include any trade/skills areas they would most like to explore (i.e. welding, mechanic, HVAC, Plumbing, etc) *

Upload a photo of student mentee: *

Professional school photos or sports pictures preferred.

Online Mentee Program Application - Spring 2025 Application

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