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First Name
Last Name
Email
Phone
Full Address
Additional Information for Your Application(s)
Are you willing to submit a background/CORI check
Gender
Resume/CV
Upload File
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Why do you want to Pioneer?
What City & State are you located in?
What is your highest level of education obtained?
Please list some hobbies or areas of interest (5)
Are you okay with teaching a skill of your choice or from the Follow My Steps Curriculum to a group of Explorers?
What days would you be able to Pioneer?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours a week can you commit to Pioneering?
What is your past mentorship experience?
Do you have access to a computer with video capability?
Would you feel comfortable with us reviewing your social media pages?
Do you understand this position comes with a monthly stipend?
Do you consent to opt into SMS notifications?
Read Waiver
I am over 18 or the legal guardian of the participant above and I accept the terms of the waiver.
Your Signature
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Thank you!
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