School Based Group Mentor Availability

Email*

Please note your availability for each day of the week. Go Girls and Mind & Motion program will run for approximately 90 minutes, during the school day (between 8:30am and 3:00pm).*

Will you be travelling to your Match visit via bus or car?*

Please list your preferences for a co-facilitator (if any)*

If matched previously, what did you find worked well in your previous group?  *

Is there anything you would like us to consider when looking for a new group?*

Are there any updates to your living situation, place of employment or school information (if applicable) from what we would have on file?*

Please confirm your preferred phone number.*

Do you have any family members currently attending an elementary school in the area? If so, which school?*

Comments

This field is for validation purposes and should be left unchanged.

Go Girls/Game On/Mind and Motion Availability Form