Mentor Application
SHINE For Girls, Greater Washington DC Area
Full Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
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Phone Number
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Area Code
Phone Number
E-mail
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School
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Class Year
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Why are you interested in SHINE?
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Please list any relevant experience with dancing, working with kids, or teaching/tutoring math.
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Availability
When are you available to participate in SHINE?
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Summer 2017
Fall 2017
Winter 2018
Spring 2018
Summer 2017 Availability:
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Mornings (9:00a-12:00p)
Afternoons (12:00 - 4:00p)
Evenings (4:00-7:00p)
Fall 2017 Availability:
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Monday After-School (3:30-6:00p)
Tuesday After-School (3:30-6:00p)
Wednesday After-School (3:30-6:00p)
Thursday After-School (3:30-6:00p)
Saturday Morning (9:00a-12:00p)
Saturday Afternoon (12:00-3:00p)
Sunday Morning (9:00a-12:00p)
Sunday Afternoon (12:00-4:00p)
Winter 2018 Availability:
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Monday After-School (3:30-6:00p)
Tuesday After-School (3:30-6:00p)
Wednesday After-School (3:30-6:00p)
Thursday After-School (3:30-6:00p)
Saturday Morning (9:00a-12:00p)
Saturday Afternoon (12:00-3:00p)
Sunday Morning (9:00a-12:00p)
Sunday Afternoon (12:00-4:00p)
Spring 2018 Availability:
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Monday After-School (3:30-6:00p)
Tuesday After-School (3:30-6:00p)
Wednesday After-School (3:30-6:00p)
Thursday After-School (3:30-6:00p)
Saturday Morning (9:00a-12:00p)
Saturday Afternoon (12:00-3:00p)
Sunday Morning (9:00a-12:00p)
Sunday Afternoon (12:00-4:00p)
Please use this area to explain any other scheduling preferences/conflicts:
Are you willing to interview for this position?
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Yes
No
How did you hear about SHINE?
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