First Name *

Last Name *

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State Pennsylvania Ohio West Virginia

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E-Mail Address *

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Why are you interested in becoming a mentor? (500 chars left)

Employer

School or Area

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Pittsburgh Allegheny 6-8 Preference First Second Third Not available for this location

Pittsburgh Schiller 6-8 Preference First Second Third Not available for this location

Pittsburgh South Hills 6-8 Preference First Second Third Not available for this location

Pittsburgh King K-8 Preference First Second Third Not available for this location

Pittsburgh Arsenal 6-8 Preference First Second Third Not available for this location

Pittsburgh South Brook 6-8 Preference First Second Third Not available for this location

Pittsburgh Sterrett 6-8 Preference First Second Third Not available for this location

Pittsburgh Classical 6-8 First Second Third Not available for this location

Background clearances are part of the screening process.

Do you have clearances, within the past 12 months, for:

Federal Bureau of Investigation (FBI):

PA Act 33

To help us improve our recruitment efforts please let us know how you heard about us:

Referral Source

As training is an important part of becoming a mentor, the program requires four hours of introduction to mentoring and understanding culture and diversity issues. Day sessions run from 9:30am to 12:30pm, evening sessions run from 5:00pm to 8:00pm, and all are held at the Mentoring Partnership of Southwest Pennsylvania, One Hope Square, 1901-1915 Centre Avenue, Pittsburgh, PA 15219. Please select the session you will be able to attend:

Preferred Training Date November 16, 2011 - 5pm - 8pm November 19, 2011 - Day December 3, 2011 - Day December 7, 2011 - 5pm - 8pm

Thank You!

You will receive an email confirming receipt of your application within 24 hours.

Go to bea6thgradementor.org.