Girls Write Now [New] Mentee Application: 2019-2020

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Page 1

Contact & Personal Information

Thank you for your interest in being a Girls Write Now Mentee!

Please review guidelines at girlswritenow.org/mentee

For questions, email mentee@girlswritenow.org

IF YOU ARE RECEIVING THIS LINK, YOU HAVE BEEN INVITED TO APPLY TO OUR WAITLIST BY MONDAY, NOVEMBER 25TH.

Girls Write Now Mentee Application Deadline for the 2019-20 program year is June 17, 2019.

Applications are reviewed on a rolling basis. Early applications are strongly encouraged.

In addition to this application, please be aware of the following documents:

If you are invited to an in-person interview, you will be asked to provide a mandatory Parent/Guardian Consent Form. You will need to print it out, have it signed by your parent/guardian, and bring it to the interview. You will receive this by email with the invitation for your interview.
Optional: Teacher Recommendation Form. You will receive this by email after your application is submitted.

Active Mentees:

Please DO NOT fill out this application! Look for the Returning Mentee Application. If you have any questions, email your Cohort Lead.

First Name

Last Name

Preferred Name (or Nickname)

Preferred Gender Pronoun

For example: she/her or they/their

Date of Birth

Home Address

Apartment Number

City

State

Zip Code

Only teens who live in New York City are eligible to be mentees at Girls Write Now.

Home Borough

Home Neighborhood (e.g. Morissania)

Home Neighborhood (e.g. Crown Heights)

Home Neighborhood (e.g. Lower East Side)

Home Neighborhood (e.g. Astoria)

Home Neighborhood (e.g. Tompkinsville)

Primary Phone Number

Type of Phone Number

HomeMobile/CellOther:

Primary Email Address

Type of Email Address

PersonalSchoolParent's

Parent/Guardian Info

Parent/Guardian First Name

Parent/Guardian Last Name

Primary Phone Number

Type of Phone Number

HomeMobile/CellWorkOther:

Other Phone

Primary Email Address

Type of Email Address

PersonalWork

Your answers to the following questions are for reporting purposes only and do not affect the status of your application.

Is English your first language?

If not, what is your first language?

Which language do you primarily speak at home?

Which languages, other than English, do you speak fluently?

Racial/Ethnic Background

African-American/African/BlackCaucasian/WhiteHispanic/LatinaMiddle EasternNative American/American Indian/AlaskanAsian/South Asian/Asian-American/Pacific IslanderBiracial/MultiracialOther

If Other, please specify:

Country of Birth

If you were not born in the US, when did you move here?

How many parents or guardians do you live with?

What is your family's total income?

How did you hear about Girls Write Now?

If you learned about Girls Write Now from a recommendation, please let us know the name of the person who recommended you.

If you learned about Girls Write Now through another program you are involved with, please let us know what program it was.

Page 2

School Information

What school will you attend for the 2019-2020 school year?

What grade will you enter in fall 2019

What type of school will you be attending in the 2019-2020 school year?

Do you qualify for free/reduced lunch price at school?

Do you receive scholarship towards your tuition?

Does your school have college/career readiness prep classes?

College Essay ScholarshipInternshipsOtherNone

Does your school have clubs or extracurriculars?

Literary or art magazineNewspaperRadio/podcast stationOtherNone

Do you feel your guidance counselor is helpful and that you are properly supported in these areas?

ClassesCollegeMental HealthOtherNot helpful

Expected Date of Graduation

Teens who attend public high school in New York City are eligible to be mentees at Girls Write Now. Occasionally we make exceptions for non-public school students who demonstrate need.

School Address

School City

School State

School Zip Code

School Borough

School Neighborhood - Bronx (e.g. Morissania)

School Neighborhood - Brooklyn (e.g. Crown Heights)

School Neighborhood - Manhattan (e.g. Lower East Side)

School Neighborhood - Queens (e.g. Astoria)

School Neighborhood - Staten Island (e.g. Tompkinsville)

Availability & Participation

Check all that you can commit to:

	Yes	No	Unsure
Being a Girls Write Now mentee from September 1, 2019 until June 30, 2020
Meeting with my mentor weekly for one hour
Attending/Participating in a minimum of two performances/exhibitions/special events in the spring
Attending monthly Saturday workshops, and select after school workshops
Checking email regularly and responding to all communication within 24 hours

If "no" or "unsure," please explain:

Accessibility

Are you able to travel to workshops, pair meetings, and other Girls Write Now community events alone?

If not, who will accompany you?

Do you have any health conditions or restrictions you think we should be aware of (physical, mental health, etc.)?

Please note: Girls Write Now, located at 247 West 37th Street, is in compliance with ADA requirements.

If yes, please describe:

Do you have regular access to a computer, tablet, and/or smart phone?

Do you have regular access to email at home?

Do you have regular access to email at school?

Page 3

Writing & Media Identity

What makes you unique? What is something that someone who just met you would not know?

Why are you interested in joining Girls Write Now, and what do you hope to get out of the program?

What does having a mentor mean to you? What are your expectations for working with a mentor? Are there any particular issues you think they might help you with?

Who are the people that support both you and your writing or creative work? How do they do so?

What kind of creative work (writing, digital design, art, etc.) do you like to do outside of school?

What kinds of things do you like to read? Why?

Have you won contests, awards, or scholarships, or had any internships you'd like us to know about?

Please list all clubs, teams, after-school programs, and extracurricular activities you participate in this year, or plan to participate in next year. Please include the approximate time commitment for each.

For example: Varsity Soccer – in the spring semester on Mondays, Wednesdays, and Fridays after school with games on Sundays.

What are your plans following your high school graduation?

Do you plan to attend college?

Are you a member of any art or writing communities? If so, which ones?

Do you have experience working with digital media? Check all that apply.

Social Media (Facebook, Twitter, etc.)Blogging/CMS (Wordpress, etc.)Video/Photo ProductionAudio ProductionAnimation (Flash, GIFs)Game DesignProgramming Languages (C++, etc.)HTML/CSSNoneOther

If Other, please describe:

To give us a sense of your voice, please upload a sample of your creative writing, in any genre or medium of your choosing.

Optional: Link to online portfolio/work

Is there anything else you'd like us to know about you?

Save my progress and resume later | Resume a previously saved form