Girls That Rock Mentee Application — #GirlsThatRock

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Girls That Rock Mentee Application

Applications open September 17th 2025 . Applications are due by September 30th 2025

Name *

First Name

Last Name

Nickname

Date of Birth *

Email (non VBPS Email!) *

Emergency Contact Name *

Emergency Contact Phone Number *

Favorite Subject *

Math

Science

Social Studies

ELA

Least Favorite Subject *

Math

Social Studies

Science

ELA

Hobbies *

I can stay after school on... *

Sessions will be held Every Tuesday 3pm-4pm starting Oct 6,2025

Monday

Tuesday

Wednesday

Thursday

Friday

What are some things you would like to see in a mentor? *

Name a goal you would like to accomplish (Note: It does not have to be just in this program) *

(Ex: I would like to get a B on my next lab)

Thank you for your application!

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