Mentee Application

Hispanic 100 Foundation
Mentee Application

This Hispanic 100 Mentor Program is sponsored by the Hispanic 100 Foundation
The Hispanic 100 Foundation is a non-profit, tax-deductible 501(C)3

organization / TAX ID NUMBER: 46-1962620

Name:

Address:

City/State/Zip:

Cell:

Date of Birth:

Email:

Age:

Highest level of education completed:

Current school:

Major(s) – if applicable:

Current grade point average:

Personal Goal(s):

Expected graduation date:

YES

Academic Goal(s):

Favorite motto/quote that best describes you and how you live your life:

Hobbies/Interests/Extra-Curricular Activities:

Prior internship experience(s):

Philanthropic, volunteer, and/or community service:

What do you hope to accomplish in the Mentor Program?

Where do you see yourself in the next five to ten years?

Why should the Hispanic 100 Foundation select you for their Mentor Program?

Additional information (please provide any additional information you feel we should know about you.

Please provide an obstacle/challenge you have faced and how you overcame it.

Please list five words that best describe you:

Thanks for submitting!