NYCHA College Mentoring Program Interest Form

The NYCHA College Mentoring Program is all about supporting young people in succeeding in college and achieving their ambitions by pairing each student with a mentor that will be there
every step of the way. This program starts in Spring 2022 and will support you in your next 2 years in college. You must be a high school graduate currently in your first or second year in college to be eligible for this program.

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* 1. First + Last Name

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* 2. What are your preferred gender pronouns?

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* 3. What is your preferred email?

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* 4. What is your preferred phone number?

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* 5. Can you receive text messages to the number provided above?

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* 6. What is your preferred method of communication?

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* 7. Best time of day to contact you?

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* 8. What college are you starting in the fall?

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* 9. What do you hope to get out of this college mentoring program?

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* 10. What questions about the program do you still have?

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