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Fusion Sunshine Coast Mentoring Program
Your name
First Name
Last Name
Email
Contact Number
Why do you think you'd like to join the program and get a mentor?
What type of activities would you like to do with your mentor?
What are your 3 most positive attributes/qualities?
What are 3 things you'd like to work on?
How are you going at school? Any outstanding subject areas?
What are your hobbies/interests?
Are you able to commit to meeting your mentor once a fortnight for an initial 6 month period with the option to extend?
Yes
No
Do you have any goals you'd like your mentor to help you work on?
I have spoken to my parent/guardian and they give me permission to apply for this program:
Yes
No
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