Mentee Application

MENTEE APPLICATION

Student Information

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Grade *

9th 10th 11th 12th

School *

GPA *

Standardized Test Scores (if applicable) *

Email *

What are you looking for in this mentorship? *

What kind of person would you like your mentor to be? *

Describe your strengths and weaknesses. *

What extracurriculars do you currently participate in? *

How did you hear about Georgia First? *

Parent/Guardian Information

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Consent and Liability Release Form

I give my consent for my student to participate in this mentorship program. I will also give consent for my child to participate in all Georgia First activities; including all organized activities and transportation. In consideration of the advantages of participation in Georgia First's mentorship program, the undersigned agrees that Georgia First Generation Foundation, its mentors, and its employees shall be released and exempt from any liability for damages for bodily injuries or property damages that may occur as a result of participation in the program, except to the extent of insurance liability as provided by law.

Terms and Conditions *

I agree to the terms and conditions of this mentorship.

Submit