Admissions (Special – Mentorship Programs) Breakout Module Our Mentorship Survey! Full Name Email Enter School Name Phone (Optional) College Campus Online™ - Be College Ready! (1/12) Have you visited the College Campus Online™ Website to schedule or just call (904) 250-6414, then click Free ZOOM Initial Consultation to start a meeting today? Yes No Please assign me a College Readiness Counselor! None Take Stock In Children: 2/12 Have you visited the Take Stock In Children Website as you must join the College Scholarship Program no later than your 9th Grade Year of High School? Yes No Call/ZOOM/Email me so I sign-up for the Take Stock Scholarship Program? None Résumés To Go: 3/12 Have you visited Résumés To Go and receive FREE access to Test Drive our Résumé Builder and a Student/Title 1 Discount? Yes No Please sign me up for the amazing College/Job Search Mentor and Counselor! None City of Jacksonville Parks and REC: 4/12 Have you visited our Amazing City of Jax Parks and REC Website? Yes No Sign me up for the 2022 Jax Parks and REC Teen Warehouse Program! Sign me up for the 2022 Jax Parks and REC City Summer Nights Program! Sign me up for BOTH 2022 Jax Parks and REC Teen Programs! None Soccer Up America: 5/12 Have you visited the Soccer Up America Website? Yes No Please assign me a Free Soccer College Readiness Coach/Mentor! Please assign me a Free Soccer Technical Skills Coach/Mentor! Please sign me up for your next Brand; DCPS or EWU College ID Camps Please sign me up for the next Soccer Scholarship EXPO/Extravaganza! None JFC Community Ambassadors: 6/12 Have you visited the JFC Website? Yes No Please assign and/or help me find a Soccer College Readiness Coach/Mentor! Please assign me a Free Soccer Technical Skills Coach/ Mentor! Please call and sign me up to play REC and/or Competitive Soccer! None JROTC: 7/12 Have you visited Terry Parker R.O.T.C. Program or DCPS R.O.T.C. Websites? Yes No I would LOVE an E-mail with More J.R.O.T.C. Information! Please sign me up for a Phone/ZOOM Call! None 5000 Role Models: 8/12 Have you visited DCPS and/or Local Charter 5000 Role Model Websites? Yes No Please Sign me up and/or provide me with more information! None Girl Scouts Get Real Servcies: 9/12 Girl Scouts is the preeminent leadership development organization for girls. Have you visited our Facebook Site or the Gateway Council of Girl Scouts Website? Yes No Please assign and/or help me find one! None TRIO: 10/12 Have you visited the TRIO Website? Yes No Please sign me up for the amazing TRIO Program! None Junior Achievement: 11/12 Have you visited the Junior Achievement Website? Yes No Please sign me up for the amazing Junior Achievement Program! None Big Brother Big Sister: 12/12 Have you visited the Big Brother Big Sister Website? Yes No Please sign me up for the amazing Junior Achievement Program! None Time's up
