Are you a Utah, Detroit, or Charlotte student?
Select state...
Utah
Detroit
Charlotte
What school district are you in?
Select your district...
Alpine
Beaver
Box Elder
Cache
Canyons
Carbon
Daggett
Davis
Duchesne
Emery
Garfield
Grand
Granite
Iron
Jordan
Juab
Kane
Logan
Millard
Morgan
Murray
Nebo
North Sanpete
North Summit
Ogden
Park City
Piute
Provo
Rich
Salt Lake City
San Juan
Sevier
South Sanpete
South Summit
Tintic
Tooele
Uintah
Wasatch
Washington
Wayne
Weber
Private/Charter/Homeschool
Code to Success: Detroit
Code to Success: Charlotte
What grade are you currently in?
Select grade...
7th
8th
9th
10th
11th
12th
To be considered for the mentor position, applicants MUST have graduated from Code to Success. What year did you graduate from a Code to Success program?
Select year...
2016
2017
2018
2019
2020
2021
2022
I did not complete Code to Success
How did you hear about the Peer Mentor position?
Select option...
Teacher
CTE Counselor
Peers
Other
What skills and strengths would you bring to the position?
Why should we choose you for the position?
Are you applying for an On-Campus or Online Mentor position? Please note, we have more On-Campus positions available than we do Online ones.
Select position type...
On-Campus
Online
If hired for an On-Campus position, would you be absent more than three times?
Select option...
No
Yes
Maybe
If applying for an On-Campus position, what are your top two campus choices?
Campus Option 1...
Alpine - Skyridge High School
Alpine - Cedar Valley High School
Cache County - USU Main Campus (Logan)
Canyons - Jordan High School
Davis - Layton High School
Davis - Bountiful High School
Duchesne - Uintah Basin Technical College
Granite - Granger High School
Granite - Olympus High School
Granite - Cottonwood High School
Jordan - Hidden Valley Middle School
Jordan - Copper Hills High School
Jordan - Elk Ridge Middle School
Logan - USU Main Campus
Nebo - Advanced Learning Center
San Juan - San Juan High School
San Juan - Whitehorse High School
San Juan - Monument Valley High School
Tooele - Tooele Community Learning Center
Uintah - Uintah Basin Technical College
Campus Option 2...
Alpine - Skyridge High School
Alpine - Cedar Valley High School
Cache County - USU Main Campus (Logan)
Canyons - Jordan High School
Davis - Layton High School
Davis - Bountiful High School
Duchesne - Uintah Basin Technical College
Granite - Granger High School
Granite - Olympus High School
Granite - Cottonwood High School
Jordan - Hidden Valley Middle School
Jordan - Copper Hills High School
Jordan - Elk Ridge Middle School
Logan - USU Main Campus
Nebo - Advanced Learning Center
San Juan - San Juan High School
San Juan - Whitehorse High School
San Juan - Monument Valley High School
Tooele - Tooele Community Learning Center
Uintah - Uintah Basin Technical College
Which category do you identify with most?
Select category...
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Two or More
Other
Shirt Size (adult sizes - not fitted)
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XS
S
M
L
XL
XXL
XXXL
Gender Identification,
Select gender...
Identify as Female
Identify as Male
Prefer not to say
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