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Harmony College & Career Mentor (CCM) Application Form
Hi Harmony Alum!
Harmony College & Career Mentoring program aims to connect current Harmony high school junior/senior or college freshmen students with Harmony College & Career Mentors to help them navigate the college and career success. Please answer the questions below if you wish to be a mentor! If you have any questions or need assistance in filling out or submitting this form, please contact your campus College & Career Success advisor or email to
alumni@harmonytx.org
.
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* Indicates required question
What is your first name?
*
Your answer
What is your last name?
*
Your answer
What is your gender?
*
Male
Female
Which Harmony Mentoring Program do you sign up for? (Select any you are interested in)
*
College and Career Mentoring for High School Juniors/Seniors
College and Career Mentoring for College Freshmen
Required
What is your race/ethnicity?
*
Please select all that apply.
White/Caucasian
Hispanic/Latino
Native American/Alaska Native
Pacific Islander
Black/African American
Asian
Other:
What is your college e-mail?
*
Please list your college email address where you can best be reached.
Your answer
What is your personal e-mail?
*
Please list your personal email address where you can best be reached.
Your answer
What is your phone number?
*
Please list the phone number where you can best be reached.
Your answer
Which Harmony high school did you go to?
*
Please select your Harmony high school.
HSA-Houston
HSA-Beaumont
HS-Ingenuity
HSI-Sugarland
HSI-Katy
HS-Advancement
HS-Discovery
HSA-Bryan
HSA-Dallas
HSI-Fort Worth
HSI-Waco
HS-Nature
HSA-Euless
HSA-Carrollton
HSI-Garland
HS-Business
HSA-Pflugerville (Formerly HSA-North Austin)
HSE-Austin
HSP-Austin
HSA-San Antonio
HSE-Laredo
HSA-Brownsville
HSA-El Paso
HSI-El Paso
HSA-Lubbock
What year did you graduate from Harmony high school?
*
Your answer
What college do you currently attend or graduated from?
*
Your answer
When do you plan on graduating or graduated from college?
*
Please list the full year (i.e. 2020)
2016
2017
2018
2019
2020
2021
2022
Other:
Are you interested in a young professional guiding you through the process of finding internships and securing a job in your major?
*
Yes
No
What degree are you currently seeking?
*
Please select from the following options.
Architecture
Business
Communications (Journalism, Public Relations)
Education
Engineering
Law
Government/Public Policy
Natural Science
Computer Science/Programming
Medicine
Arts (Music, Dance, Graphic Design, Film)
Social Science (Psychology, Sociology, Anthropology)
Humanities (English, History, Languages)
Other:
Required
What are your plans after college?
*
Grad school
Workforce
Other:
Tell us about yourself and why you want to be a College & Career Mentor for high school juniors and seniors!
*
In 5-6 sentences at the very least, give us a bio.
Your answer
Do you understand the time commitment?
*
Yes, I understand this is a commitment of at least 30 min per week.
No.
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