Career 360 Mentor ApplicationThis application is for the Career 360 enrollment period. Please direct any questions to marisa@girlswritenow.org.

Career 360 Mentor Application
This application is for the Career 360 enrollment period. Please direct any questions to marisa@girlswritenow.org.

This application is divided into two parts, Part A and B. Please be sure to fill out both parts of the application.

Part A

Contact & Personal Information

First Name

Last Name

Preferred Name (or Nickname)

Please write your name the way it's pronounced:

For example: Aim-ee for Amy

Gender Pronouns

For example: she/her, they/them

What is your gender?

Home Address

Apartment Number

City

State

Zip Code

Primary Phone Number

Type of Primary Phone Number

HomeMobile/CellWork

Primary Email Address

Type of Email Address

PersonalWork

Program Eligibility

Will you be at least 27 years of age as of September 2023?

Girls Write Now requires that coaches devote 4+ hours per month to the program they participate in through monthly workshops and regular pair sessions with your mentee.

Please confirm whether you can commit to a monthly participation minimum of 4 hours.

In order to be eligible for Girls Write Now, you must be at least 27 years of age as of September 2023 and able to devote an average of 4 hours per month, October through January. At this time, you are unfortunately not eligible to participate in our programs.

I acknowledge I am not eligible to participate in Girls Write Now and this may affect my application status.

Contact Information