Uncategorized Student Profile Updated on November 4, 2025 by Legacy Mentorship Entry Assessment Legacy Driven — Mentorship Program: Student Profile Please complete this profile so your mentor can learn about you. Answer as honestly as you can — there are no wrong answers. Basic Information First name * Last name * Preferred name / Nickname Date of birth Current grade *Select grade9th10th11th12thOther School name * Student email (or best contact) * Phone (optional) Academics & Support Needs Current favorite subjects / classes Current (approx.) GPA (optional) Personality & Learning Style How would you describe your personality? (pick up to 3) Outgoing Shy/Quiet Analytical/Logical Creative Empathetic Organized Adventurous Other Preferred learning styleSelectVisual (videos, diagrams)Auditory (discussions, lectures)Hands-on / KinestheticReading & WritingMixed What motivates you? (short answer) Top 3 strengths Areas you’d like to improve Interests & Extracurriculars Which of these interest you? (select all that apply) STEM / Robotics Arts (visual, music, theater) Sports Business / Entrepreneurship Community Service Coding / Web Dev Skilled Trades College preparation Other Current extracurricular activities or clubs Hobbies / Things you enjoy outside school Career & Post-Secondary Goals What career(s) are you considering? What do you want to do after high school?Select4-year college/university2-year college / community collegeTrade/technical schoolMilitaryWork / apprenticeshipUndecidedOther What steps have you already taken toward this goal? What might get in the way of your post-high school goals? How can a mentor help you reach these goals? Goals Short-term goal (next 3–6 months) Long-term goal (after high school / 5 years) Which of the above is your top priority?SelectShort-term goalLong-term goalBoth equally Self-Assessment (1 = Strongly Disagree, 5 = Strongly Agree) Rate the following statements: I feel confident talking about my goals with adults.Select12345 I manage my time well / meet deadlines.Select12345 I can bounce back from setbacks (resilience).Select12345 Availability Best days & times for mentor meetings Preferred meeting formatSelectIn personVirtual / ZoomHybridNo preference Do you have reliable transportation to in-person meetings?SelectYesSometimesNo How do you prefer mentors to contact you?SelectEmailTextPhone callMentorship platform / school Barriers, Safety & Permissions Any safety or confidential information mentors should know about? Other obstacles (housing, food, family responsibilities, technology access) Final Thoughts What are you hoping to get out of the mentorship program? Anything else you’d like us to know about you? Submit If you are human, leave this field blank.
