Fresh Start Mentor Application 2023 - 2024

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* 1. Fresh Start Mentors are professional women who are willing to give some time to empowering a woman to reach her goals of academic success and graduation. Together, you and your scholar will develop a plan to aid her in achieving her immediate and long-term goals and in becoming the person she aspires to be. The mentor relationship is based on mutual respect, and is a shared opportunity for learning and growth. Many mentors say being a mentor is as rewarding for them as for the scholars they guide.

I have mentoring experience

I don't have mentoring experience

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* 2. Contact Information

Name

Home Address

City

State

Zip Code

Preferred Phone

Preferred Email

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* 3. Occupation

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* 4. Employer Information

Name

Address

City

State

Zip Code

Work Number

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* 5. Highest Level of Education

High School

Undergraduate Degree

Graduate Degree

Doctorate

Trade Certification

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* 6. Where did you receive your degree/certification?

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* 7. Do you speak, read, or write a language other than English. Please list here.

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* 8. Please list any special skills or knowledge you have to share with a Fresh Start Scholar. Our goal is to match you with someone who could best benefit from your experience and wisdom and with whom you might share common interests and career aspirations.

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* 9. To further assist with matching mentors with scholars who vary in age and diversity, please provide the following demographic information.

Age

Ethnicity/Race

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* 10. What motivates you to want to mentor others?

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* 11. How did you hear about the Fresh Start Scholarship Foundation?

Thank you from the Fresh Start Scholarship Foundation. We will contact you soon.