She Shadows: Mentor Experience Protégé Application Please enable JavaScript in your browser to complete this form.Protégé InformationFull Legal Name (First, Middle, and Last) *Date of Birth *Mailing AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *CellWhat school do you attend?In what city is your school located?Tell Us About YourselfWhat are your hobbies, special skills, or other interests?Do you participate in any extra-curricular activities? If so, list below.Who is your favorite leader and why?Describe 3 of your best qualities.Describe 3 things you would like to improve about yourself.Do you already have a business or a business idea? If so, tell us about it.How do you see yourself and/or business idea making a positive difference in the world?What are your career aspirations?Why do you want a mentor?What do you hope to accomplish from this experience?Have you ever been in a She Elevates program?YesNoHave you ever had a mentor?YesNoIf yes, please explain (Program Name & Dates) and describe your experience.Mentors often have a particular set of experiences to share, please help us achieve the best possible match by specifying if you would like your mentor to be from a specific cultural background and industry (if available)?YesNoIf yes, what cultural background?Parent/Guardian InformationParent/Guardian Name *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Cell Phone Relationship to child *MessageSubmit SUPPORT OUR GIRL ENTREPRENEURS Sign up to receive our "SheLetter" to stay informed on our events, news and updates. Success! Email Subscribe FollowFollowFollowFollow Privacy Policy Terms & Conditions Partner With Us Donate © 2022 She Elevates™ All Rights Reserved