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Summer Mentor Application

Summer Intern Mentors

Name(Required)

First Last

Organization(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

How do you help your community?(Required)

How do you hope an intern will contribute through the Niizhoo-gwakochigewin program to helping your community?(Required)

How will you contribute to the education of your intern?(Required)

List some responsibilities that an intern might do/projects they might work on.(Required)

Is there anything an intern should know before working with you? (transportation needs, heavy lifting, allergies, specific technical background (ex. GIS), etc.)(Required)