1. Mentorship Application

  2. Application Information

    We accept applications on a rolling basis and will consider qualified candidates through Friday December 20, 2019. Because spots in the program are limited, we strongly encourage students to submit applications as soon as possible. Following the initial application review process, semi-finalists will be notified by mid-January. Semi-finalists will be interviewed at an Orientation and Screening Program at Rutgers University-Newark held on Saturday January 18, 2020.

    PROGRAM DATES

    RMM workshops are conducted on Saturday mornings from 9:30 a.m. to 11:30 a.m. with a 10 minutes break after the initial 50 minutes. Lunch is provided from 11:30 a.m. to 11:55 a.m.

    Participants are required to attend each workshop to fulfill successful completion of the program. At the end of the program, a graduation ceremony is held on the Sunday afternoon following program completion at Princeton University. During the graduation ceremony, each participant receives a certificate for completing the program along with a gift up to $100.00. Students receive $20 per session they successfully attend.

    RMM will be in session on the following dates:
    • Saturday, January 25, 2020
    • Saturday, February 1, 2020
    • Saturday, February 8, 2020
    • Saturday, February 15, 2020
    • Saturday, February 22, 2020

    The Orientation & Screening Program will occur Saturday, January 18th.
    The Closing Graduation Ceremony will occur Sunday, February 23rd at Princeton University.

    If you prefer to complete the application offline, please click here to download a hard copy of the application.


  3. First Name*
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  4. M.I.
    Please let us know your middle initial.
  5. Last Name*
    Please let us know your last name.
  6. Address*
    Please provide an address.
  7. City*
    Please provide a city.
  8. State*
    Please select a state.
  9. Zip*
    Please provide a valid zip.
  10. Home Telephone Number*
    Please provide a phone number.
  11. Email*
    Please enter email address
  12. Birth Date*
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  13. School Name *
    Please let us know your school name and street address.
  14. School Street Address*
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  15. School City*
    Please provide a city.
  16. School Telephone Number*
    Please provide a school phone number.
  17. Grade Level*
    Please select a gender
  18. Name of Mother/Guardian*
    Please give a name of Mother/Guardian
  19. Mother’s/Guardian's Occupation *
    Please let us know your mother’s occupation
  20. Mother’s/Guardian's Business Number
    Please provide a phone number.
  21. Mother's/Guardian's Email*
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  22. Mother's/Guardian's Cell *
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  23. Name of Father/Guardian
    Please give a name of Mother/Guardian
  24. Father’s/Guardian's Occupation
    Please let us know your father’s occupation
  25. Father’s/Guardian's Business Number
    Please provide a phone number.
  26. Father's/Guardian's Email*
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  27. Father's/Guardian's Cell *
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  28. Name of your Guidance Counselor*
    Please give a name of Parent(s)/Guardian(s)
  29. What is your guidance counselor's email address?*
    Please enter email address
  30. What is your overall grade point average for the present school year?*
    Please enter a valid G.P.A
  31. What are your favorite school Subjects?*
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  32. What are your hobbies?*
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  33. In what ways do you desire to benefit from your participation in this program?*
    Please let us know in what ways do you desire to benefit from your participation in this program?
  34. Please describe any leadership and community service activities that you have performed this year.*
    Please describe any leadership and community service activities that you have performed this year.
  35. How did you hear about us?*
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  36. *
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  37. Form Security
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