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CLICKS Mentee Online Application

GENERAL INFORMATION - Please complete the application below; an asterisk indicates a required field.  Ask your parent/guardian to complete the CLICKS Parent/Guardian Consent Form. 

After completing the online application, please email the following documents to your CLICKS Regional Coordinator for your state:
  • A copy of your report card
Program Affiliation *This question is required.
Contact Information
Correspondence will be sent to this email address, so please check it regularly. This question requires a valid email address.
Demographic Information
This question requires a valid date format of MM/DD/YYYY.
Gender *This question is required.
What are your preferred pronouns? *This question is required.
Do you identify as LGBTQ?
Racial Identification *This question is required.
Preferred Language *This question is required.
Are you bilingual?
Is anyone in your family currently an active military service member or veteran? *This question is required.
Do you have a disability? *This question is required.
Do you have children? *This question is required.