MAJ Mentorship Submission Form

Please fill out the submission form below.

Miss Andye J will get back to you within 48 hours of receiving this form.

Please note: this is a submission only. This is not an automatic confirmation that you will be accepted as a Mentee.

Name

First Name

Last Name

Age

Contact Phone

(###)

###

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Why do you feel you need a Mentor?

Why do you think Miss Andye J would be a good fit as your Mentor?

What expectations do you have for this Mentorship?

List at least 3 achievements or goals you want to complete by the end of this Mentorship.

Anything additional you would like Miss Andye J to know regarding the Mentorship?