High School Student 6to16 mentor interest form

Page 1 of 2     6to16 Online Social Network Mentor Interest Form   Please complete the information below if you are a high school student and would like to become an online mentor to 6th-8th grade students on the road to high school and college graduation. Data collected in this form will be used for program management and evaluation purposes.   1. First name*         2. Last name*         3. Gender*   -- Please Select -- Male Female       4. Race/ethnicity   Black   Caucasian   Hispanic   Asian   Native American   Other, please specify               5. Parents' Educational Background (Highest Degree Attained)*   -- Please Select -- Doctorate Degree Masters Degree Bachelors Degree High School Diploma or Equivalent Some High School       6. Email address*         7. Address*   Street Address   City   State   Zipcode         8. Phone number*         9. Name of High School*         10. Year in School*   -- Please Select -- Freshman Sophomore Junior Senior       11. Please specify the type of high school you attend*   Traditional CPS Public School (Non-Charter, Non-Selective Enrollment)   CPS Selective Enrollment or Military Academy   CPS Charter School   Magnet School   Private School   Other, please specify               12. Your current Grade Point Average (Cumulative)*   -- Please Select -- 1.00-1.49 1.50-1.99 2.00-2.49 2.50-2.99 3.00-3.49 3.50 or above       13. How did you hear of 6to16?*