2017-2018 Mentee Application

Please note, you cannot save this form. It must be completed and submitted in one session. We recommend working on your answers in a separate document and inputting them all at once. Questions or technological issues? Contact Maya Gomez at [email protected].

Youth Information

MM/DD/YYYY
(XXX) XXX-XXXX
(XXX) XXX-XXXX
By email, text message, etc.

Youth Application

Tell us about yourself, your artistic interests, and anything else that’s important to you. We want to be sure to make the best possible mentor match for you!

If yes, which ones?

Parent/Guardian/Emergency Contact Information

(XXX) XXX-XXXX

Hit "Submit" only once! Please give the system time to process your application. Do not navigate away from this page until you get a confirmation message.

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