Application Form

*We ask for this information below in order to assess the respective skills and interests of each applicant, so that we may carefully coordinate each applicant with the potential mentor. We will never publish nor disseminate this information, and we only require it so that mentors may intimately familiarize themselves with the applicant.

Student’s Info

*Student’s First Name

*Student’s Last Name

*Student’s Age

*Grade in September

*School

*Student’s Phone #:

*Student’s Email

Grade Point Average [GPA]

*Which of the following careers are you most interested in?

Hobbies or Interests

*Any special medical issues we should know about

Guardian's Contact Information

*Guardian's First Name

*Guardian’s Last Name

*Cell Phone #

Home Phone #

*Guardian's Email

*Guardian's Address

*City

*State

*Zip Code

*Relationship to Student

Emergency Contact Information

*Emergency Contact Name

*Relationship with Student

*Emergency Contact Number

Terms and Condition

Due to the nature of the competitiveness of the mentorship program and the limited availability of mentees to mentor, IC Future, Inc. does not and cannot guarantee the acceptance of any applicant. In conjunction with the mentors, ICFuture, Inc., will use its best efforts to place the applicants to appropriate mentors, but cannot promise acceptance or placement. All applicants are noticed that the selection process is at the sole discretion of IC Future, Inc.

I agree to the IC Future Inc.’s Application Terms and Condition.

Privacy Policy

ICFuture, Inc. is the sole owner of the information collected on this site. IC Future, Inc. will use the applicant’s information to respond to the applicant, regarding the mentorship program. IC Future, Inc. will not share the applicant’s information with any third party outside of its organization, other than as necessary to fulfill the applicant’s request, e.g. to apply for and enroll into the mentorship program.

I agree to the IC Future Inc.’s Application Privacy Policy.