Girls' Technology Mentorship Program Mentor and Mentee Application Form
Apply to become a mentor or mentee in the Girls' Technology Mentorship Program using this application form.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Are you applying as a mentor or a mentee?
*
Mentor
Mentee
Age Range
*
Please Select
Under 16
16-18
19-22
23-29
30 or above
Location (City and Country)
*
Primary Area(s) of Technology Interest
*
Software Development
Data Science & AI
Cybersecurity
Web & Mobile Apps
Hardware/IoT
Other
Current Experience Level in Technology
*
Beginner
Intermediate
Advanced
Why do you want to participate in the Girls' Technology Mentorship Program?
*
Preferred Communication Method
*
Email
Phone/Voice Call
Video Call (Zoom, Teams, etc.)
Messaging App (WhatsApp, Slack, etc.)
Typical Weekly Availability (select all that apply)
*
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings
Submit Application
Should be Empty: