Mentor Profile Survey

The purpose of this survey is to gather information to match up Mentor to Mentee in the best way possible.  Any additional details or requests that would help match you to an appropriate mentee would be welcomed.  

If you have any questions please contact Lori Cooper Brown Class of 1990

loricbrown@bellsouth.net

502-379-1335


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* Answer Required
1)   * Name

 
2)   * Graduation Year

 
3)   * Email

 
4)   * Phone

 
5)   * How many students are you willing to mentor?

 
6)   * Time during the day you are able to meet with student

  Before School
  After School
  11:20-12:30 during lunch or CAT time

During school hours (CAT time and lunch) would be best but some students may be able to be there at other times.
 
7)   * Occupation, interests, hobbies, sports

 
8)   * Have you ever been a mentor before?

Yes No
 
9)   * Additional information you would like to provide