Welcome to PENCIL's Partnership Program

Thank you for your interest in mentoring with PENCIL!

Whether this will be your first year or your tenth year with us, we are thrilled to have you on our team. To get started, please take a moment to complete the registration form. Your responses will help us to learn more about you and how you can share your skills and experiences to support New York City public school students. This form should take about 5 minutes to complete, and then you’ll be that much closer to kicking off your PENCIL Partnership.

Please note that we check all mentors on the New York Registry of Sexual Offenders to ensure the safety of the students. We do not share this information or any of your responses with your employer. If you have any questions, please email Hannah Chan at HChan@pencil.org.

First Name

Last Name

Email Address

Phone Number

Date of Birth (MM/DD/YYYY)

Zip Code (required for SAM check)

Employer

Position

Employer?

Which day(s) are you available to attend?

December 10, 2024 – 2:20pm-3:50pm - Resume 101January 14, 2025 – 2:20pm-3:50pm - Interviewing 101March 11, 2025 – 2:20pm-3:50pm - Professionalism & CommunicationMay 13, 2025 – 2:20pm-3:50pm - Close-Out

EDUCATIONAL HISTORY

Where did you receive your Bachelor's Degree?	Major?
Where did you receive your Master's Degree?	Major?

Where did you receive your Doctoral Degree?

Major?

Did you attend public school?

Yes - Outside of NYCYes - Within NYCNo

Which NYC public school(s) did you attend?

GETTING TO KNOW YOU

Describe your position so a high school student would understand.

What is one goal you would like to accomplish through the PENCIL partnership program?

What are three things you want students to know about you?

One

Two

Three