The Puddle Project Mentor Application Form
This form will be used to gather information regarding applicants who are interested in being a Mentor for The Puddle Project.
Email Address
*
Your Email Address
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
Please enter a valid cell phone number.
How do you prefer to be contacted? (Check all that apply?)
*
Email
Cell Phone Call
Text
Were you a teen mom or dad?
*
Yes
No
Mentor Requirements
Mentors are required to volunteer at least one hour per month for this program. Please specify the best times you are available to Mentor.
*
Mornings
Afternoons
Evenings
Not at all
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
We are currently holding Virtual mentoring, when in-person meetings aren't possible. Do you have a device that will support this?
*
Yes
No
If Yes, would you be willing to use this option with your Mentee?
Yes
No
I am willing to Mentor in the following areas:
Southern Suburbs
Chicago Public School Buildings
Either the Southern Suburbs or the Chicago Public School Buildings
Please add any additional information about location that you would like to share.
Please indicate prior volunteer experience. Include the organization name, dates, and activities.
*
Would you agree to a Background Check?
*
Yes
No
Employment Information
This provides information regarding your areas of expertise and willingness to shae information as it relates to The Puddle Project with your employer.
Which Company are you affliated with (if retired, please indicate)?
*
Does your Company provide volunteer activities?
*
Yes
No
Please indicate below if you are willing to approach your Company about any of the following opportunities.
*
Mentoring
In-kind goods/services
Corporate Sponsorship
Other (See below)
If you answered "Other" for the question above, please explain:
Questionnaire for Mentor Determination
Your responses to the following questions will help us determine your eligibility and match you with a Mentee.
Questionnaire
Why are you interested in mentoring?
*
What would you like your Mentee to know about you?
*
What would you like your Mentee to know about motherhood or fatherhood?
*
What qualities, skills, or other attributes do you feel you have that would benefit a teen or the organization?
*
What do you think will be most challenging about being a Mentor?
*
Please indicate any other volunteer opportunities you may be interested in. (Check all that apply.)
*
Basics 4 Baby Emergency Pantry
Childcare during The Puddle Project events
Special Events (e.g., Serving as a chaperone during The Puddle Project Field Trips, etc.)
Administrative Assistance
I'm not interested in any other volunteer positions
Thank you for completing our Mentor Application Form.
The Puddle Project
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