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BGCCF Mentorship Program
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Personal Information
Name
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First
Last
Job Title
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Company or Organization
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Please provide a short description of your job responsibilities.
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Board Affiliation
Brevard County
Club Blue
Corporate
Joe R. Lee Branch
Lake County
Nassau County
Osceola County
Seminole County
West Orange
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Preferred Days for Communication
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Monday
Tuesday
Wednesday
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Morning (9am-12pm)
Afternoon (12pm-3pm)
Evening (3pm-6pm)
About You
What is your favorite ...
Music Artist or Group
Food
Movie
TV Show
Book
Sport or Activity
Sports Team
Place to Hang Out
Check ALL the words that best describe you.
Quiet
Talkative
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Friendly
Funny
Serious
Adventurous
Helpful
Trustworthy
Happy
Active
Outgoing
Popular
Cautious
Hopeful
Kind
Independent
What is one goal you have set for the future?
If you could learn something new, what would it be?
If you had a whole day to do whatever you wanted, what would you do?
What are some of your interests or hobbies?
What are some adversities you faced in middle school or high school? (i.e. bullying, peer pressure, drugs, alcohol, etc.) How did you handle these adversities?
If you could tell your younger self any piece of advice, what would it be and why?
Please upload a professional headshot.
If you don't have a professional headshot, please contact Jordan Hopkins at jhopkins@bgccf.org.
Max. file size: 256 MB.
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