Life Launch Mentee Application

// (mm/dd/yyyy)
African American
American Indian
Asian
Caucasian
Hispanic/Latino
Native Hawaiian/Pacific Islander
Blended
Single
Engaged
Married
Separated
Divorced
Widowed

High School Diploma
GED
Other
High School Diploma
GED
Associate Degree
Bachelors Degree
Other

Yes
No

Talkative
Quiet
Funny
Serious
Energetic
Laid back
Have a lot of noise around me (music, tv, people talking, etc)
Have it pretty quiet
Action
Biography/true story
Comedy
Romance
Scary

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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