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Minds of the Future Foundation
Mentee Application
Minds of the Future Foundation aim to provide students in the 8th-12 grades with academic tutoring once a week, career counseling, and
job shadowing opportunities monthly. Students are required to attend academic tutoring once a week at Minds of the Future Academy for
one hour. Mentors and mentees meet once a month (Minimally) at the mentor workplace to provide job-shadowing experience. Through
the course of the school year, the foundation counselor will review with students their job shadowing experience and career exploration
on the career they chose to ensure they are working toward a career goal. If you have questions about the information requested below,
please contact Minds of the Future Foundation at (904) 866-2562. All applicants will be notified by September 25, 2017 regarding their acceptance status.
I. Contact and General Information
Name
*
First
Last
Middle name
Nick name
Title
Current School
*
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
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Email
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T-shirt size
Please list your top 3 careers that you want to learn more about? (Please note, they DO NOT have to be college related)
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Career 1
Career 2
Career 3
(Please Note: Students are NOT guaranteed to job-shadow their first choice)
Expectation Checklist
What is the purpose of the program?
Minds of the Future Foundation is designed to give your child an opportunity to have a one-on-one relationship with a mentor to provide job-shadowing experience once a month. Students must commit to receiving academic tutoring once a week at Minds Foundation (4162 Spring Park Circle.) Transportation to and from job-shadowing experience and the foundation is solely the parents responsibility.
*
Please type in your initials here.
What about transportation?
It is the responsibility of the parent to transport the mentee to the Foundation and mentors job site.
*
Please type in your initials here.
Is this a paid job shadowing experience?
This is a non monetary paid experience. This experience provides students the opportunity to gain valuable on the job training for their desired career choice.
*
Please type in your initials here.
What activities are required for the mentee?
Students must commit to annual fundraising events. The first event will be held September 7th. Students will attend a reception and meet their mentors at this black tie event!
*
Please type in your initials here.
Are students required to complete assignments that will help them understand more about the career they chose?
Students are required to complete assignments that will provide them an in-depth understanding of the career they chose. Students will also receive assistance academically and may be required to complete assignments that will challenge them to understand the concepts more thoroughly.
*
Please type in your initials here.
What if there are concerns or questions I don’t want to discuss with the mentor?
Please feel free to contact Ms. Smith the foundation director at 904-866-2562 or minds904@gmail.com
*
Please type in your initials here.
Mentee Application Questions
Why do you want to participate in a mentoring program?
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What are three words that would best describe you?
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Briefly describe your expectations for Minds of the Future Foundation:
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What do you expect to learn from your mentor?
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Are you currently experiencing academic or behavior struggles in school? If so, what?
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Can you provide any additional background information that may be helpful to Minds of the Future Foundation in matching your son/daughter with an appropriate mentor?
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Yes
No
