Girls That Rock Mentee ApplicationReturning 2025-2026 School Year 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 * Will you be available? * Meetings/Session will be held Every Wednesday in April 2:15pm-3:45pm Yes No I am not sure yet 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! Please follow us on Instagram for updates!
