ASACA YA Mentorship Interest – American Syrian Arab Cultural Association

ASACA Mentorship Interest Form

Thank you so much for your interest in the ASACA YA mentorship program!

The ASACA YA mentorship program is designed for anyone 14+. We are excited to connect aspiring mentees with experienced mentors to aid in your professional and/or academic growth, learning, and development. Additionally, as mentors you will have the opportunity to connect with mentees and provide your insights and lessons for success.

ASACA Mentorship Interest Form

Thank you so much for your interest in the ASACA YA mentorship program!

The ASACA YA mentorship program is designed for those ages 14-25. We are excited to connect aspiring mentees with experienced mentors to aid in your professional and/or academic growth, learning, and development. Additionally, as mentors you will have the opportunity to connect with mentees and provide your insights and lessons for success.

This questionnaire is designed to get to know you as a Mentor/Mentee. We will use your answers to create the best pairings among mentors and mentees for the current and upcoming semesters.

We are holding a Mentorship Mixer for registered Mentors/Mentees at the Baldwin Public Library on Saturday, March 22nd at 1pm. This event will be a great opportunity to get to connect with your mentorship partner, and get to know different types of people following different academic and career paths! If you’d like to attend this event, please check Yes in the last required question box. Registration for the Mentorship Mixer is first come first serve, as we have limited capacity.

Participants under 18 must submit a parental consent form.

If you have any questions, feel free to reach out to Luna Samman at asacayouth@gmail.com

Be sure to follow @asaca_ya on Instagram if you haven’t already! We post updates, events, and much more there. We will post updates about mentorship pairings there, so look out for that as well.

Participant Information

Participant name: *Participant Full Name

Participant Phone *Enter your phone number

Email Address *Enter your email address

Participant Age *Are you under the age of 18? (registrants under 18 must have a parent/guardian fill out the consent form to participate in this program. below)

Are you interested in being a mentor and/or mentee? *MentorMenteeChoose

Mentor: As you are signing up to be a mentor, what areas are you comfortable mentoring in? *As you are signing up to be a mentor, what areas are you comfortable mentoring in?

Mentee: As you are signing up to be a mentee, what areas are you looking for mentorship in? *If you are signing up to be a mentee, what areas are you looking for mentorship in?

If you are in school, what type of school & program do you attend? *(ex. high school, undergraduate - Major and track, grad school - area of study, medical school - year, etc.)

Young professional, what profession are you in? *If you are a young professional, what profession are you in? (Ex. Business - program manager)

Where do you see yourself in 5-10 years? What are your long term career/academic/professional goals? *Where do you see yourself in 5-10 years? What are your long term career/academic/professional goals?

Save the Date! Are you interested in attending our Mentorship Mixer on Saturday, March 22nd at 1pm at the Baldwin Public Library? *YesNoMaybeAre you interested in attending our Mentorship Mixer on Saturday, March 22nd at 1pm at the Baldwin Public Library?

Anything else you would like us to know?Anything else you would like us to know?

Parent DetailsHave your parents to fill the following fields:

You are under 18 years old? *YesAs you are under 18 Years old, you need your parent's approval to be able to participate. Please ask your PARENT/guardian to complete the form below.

Parent name: *Parent name

Parent phone: *Parent phone.

Parent Signature *

Parent Signature.

Participant Signature *

Participant Signature

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ASACA Mentorship Interest Form

ASACA Mentorship Interest Form

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