Modeler Program Application

A Whitaker Project Modeler is someone who models character attributes and career paths for local middle and high school students. This person is dedicated to the academic and professional development of their chosen student and would help them reach their desired milestones over a 6-12 month period.

Please fill out this form for consideration!

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Job Title | Employer

Are you an entrepreneur?

Name of your company (If applicable)

Availability

Are you over 21 years of age?

Highest Level of Education Completed

Modeler Program Application

The Whitaker Charitable Project Inc.