General Program Mentorship Form

1,000 Dreams Fund Beneficiary Mentorship Form

Name(Required)

First Last

Email(Required)

What program are you a winner of?(Required)

Are you in high school, college, or graduate school?(Required)

High School

College

Graduate School

N/A (or previously graduated)

School's Full Name(Required)

N/A if not applicable

If you are currently in college/grad school what is your major? If you are a college graduate what was your major?(Required)

Otherwise put "N/A".

What are your future plans? Goals after graduation? Do you know what career field you want to enter/are entering?(Required)

What are you passionate about?(Required)

Please describe your ideal mentor.(Required)

What do you hope to accomplish from your mentorship session?(Required)

What is your general availability during the week? We will use this info to narrow down a potential time for your mentor session.(Required)

Are there challenges you have faced or currently face that make an opportunity like this mentorship even more valuable for you?(Required)

(ex: financial hardship, first generation college student, etc.)

What is your general availability during the week? We will use this info to narrow down a potential time for your mentor session.(Required)

Current Time Zone(Required)

Anything else the 1,000 Dreams Fund team should know before matching you with a mentor?