Morgantown, WV

Experience and Skillset

Note: Please ensure the Student First Name, Last Name, and Email Address entered here exactly match the information you provided in Part#1

First Name_*

Last Name_*

Email ID_*

Activities/Experience (Software, Databases, AI/ML, Data Science, Business etc.)

Hey can add up to 10 activities

Awards/Honors (please explain and which grade you received it)

Hey can add up to 10 awards

Test Scores (PSAT/SAT/ACT/ AP/IB if any)

Hey can add up to 15 test scores

Community Service

Hey can add up to 15 community service information

Strengths and Weaknesses: One essay

Document Upload

Transcript (Please upload pdf only file, maximum size allowed is 5mb)

Student Consent Form (The PDF document available on the Mentorship Applicant Page must be downloaded, reviewed, and signed by both the parent/guardian and the student. The completed document is to be uploaded in PDF format , maximum size allowed is 5mb)

Payment Receipt (Please upload pdf only file, maximum size allowed is 5mb)

Student Profile

Note: Please ensure the Student First Name, Last Name, and Email Address entered here exactly match the information you provide in Part#2 and Part#3

First Name_*

Last Name_*

Grade for Current School Year_*

Name Of the School_*

Email Address_*

Student Contact Phone Number_*

Address 1

Address 2

City_*

State_*

Zip Code_*

Country

Parent/Guardian#1 Name_* Parent/Guardian#1 Phone_* Parent/Guardian#1 Email Address_*

Parent/Guardian#2 Name_* Parent/Guardian#2 Phone_* Parent/Guardian#2 Email Address_*

Immigration Status (Indicate whether you are a US citizen/ Permanent US resident. Please note, current we are not accepting from student with H4 or F1 visa status) US citizenPermanent Resident/Green Card holder

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