COLLEGE MENTOR APPLICATION

Please fill out the following form to apply to be a college mentor for the Code to Success Program!

First Name

Last Name

Phone

Street Address

City

State

Zip Code

Country

What college or university are you attending/attended?

What year are you in your studies?

What degree are you pursuing?

Have you participated in any of the following Code to Success programs? and what year?

Which coding languages are you comfortable with?

CSS

HTML

JavaScript

Other

If 'Other' was selected, what language[s] do you have experience with?

How did you hear about the College Mentor position?

What skills and strengths would you bring to the position?

Why should we choose you for the position?

Are you applying for an On-Line position or an On-Campus position?

If hired for an On-Campus position, would you be absent more than three times?

If applying for an On-Campus position, what are your top two campus choices?

For the program, do you prefer to work 10 or 20 hours a week?

What is a fun fact about yourself?

Shirt Size (adult sizes - not fitted)

Gender Identification