Mentor Personality and Interests Survey
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please provide the best phone number to reach you at.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
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-
Month
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Day
Year
Date
Gender
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Woman
Male
Prefer Not to Say
Prefer to self describe as (non-binary, gender-fluid, agender, please specify on line below)
Other
Race
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Mentoring and Personality
Why do you think you'll be a good mentor? Your answer
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Describe your personality.
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Create a list for the following category: Your likes, interests, hobbies and extra-curricular activities.
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Create a list for the following category: Your dislikes.
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Create a list for the following category: Your strengths/successes.
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Create a list for the following category: Your challenges/obstacles to being a good mentor.
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Are you more... (select one):
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Willing to try new things
Tentative
Are you more... (select one):
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Talkative
Quiet
Are you more... (select one):
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Fast thinker
Needs more time to think
Have you ever mentored a young person before?
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How would you describe your potential mentoring style? There are different types of mentoring styles. These mentor styles vary to cater towards different personality types and learning styles. Also, different mentoring styles help with unique skills that mentees want to learn. These styles help bring out the best in mentees, while also providing mentors with different ways to reach out to others and really make an impact. Five different types of mentoring styles are:
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Challenger - This type of mentor pushes a mentee, asks the hard questions, plays the devil's advocate, and makes sure the mentee is really focused on their end goal. The challenger will also make sure to focus on the details, so the mentee will realize the importance of their particular goal. Challengers are less friends and more drill sergeants of the mentor community. They are supportive but more firm than the rest of the mentoring styles.
Cheerleader - This type of mentoring is meant to cheer on a mentee, through staying positive and noticing all the growth and change a mentee is making. If a mentee makes a mistake, the cheerleader focuses on how the mistake will help the mentee grow. There is no negativity, and no pushing, just subtle and positive ideas.
Educator - This mentoring style is meant to teach mentees. A background in education or training would be key for this type of mentoring. The educator will take the time to create and execute trainings to help a mentee learn and develop. This style is positive but still pushes a mentee to excel. Educators will also study the mentee, understand where their skills are lacking, and where they need to educate the mentee differently to help fix those deficiencies.
Ideator - The ideator, or idea maker, is a mentor that helps the mentee brainstorm and think bigger than perhaps they do typically. This mentoring style focuses on thinking, planning, and dreaming. They will push a mentee that has little to no ambition, and encourage them to value their skills and selves more. This will push them to strive to accomplish even larger tasks.
Connector - The connector, or networker, helps mentees network socially, online, and in person. They will connect their mentee with people they know can help the mentee with their specific goals. They also help the mentee learn how to network themselves, so they know what events to attend or places to go to really get to know the right people.
Other
Are there characteristics of a potential mentee you would best be suited to mentor? (Please include characteristics such as age, interests, background, personality, and cultural background if applicable).
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Please include any additional information that may help the matching committee match the student with an appropriate mentor (consider health care needs, presence of disabilities, specific issues/events not covered elsewhere).
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Mentor Reference Form
Please complete the information below for three references.
1. Reference Name
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First Name
Last Name
Reference Phone Number
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Please enter a valid phone number.
Reference Email
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example@example.com
2. Reference Name
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First Name
Last Name
Reference Phone Number
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Please enter a valid phone number.
Reference Email
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example@example.com
3. Reference Name
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First Name
Last Name
Reference Phone Number
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Please enter a valid phone number.
Reference Email
*
example@example.com
Submit
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