First Ladies Youth Leadership Volunteer and Mentor Application

Full Name

First NameLast Name

Date of Birth

Date

Age

Phone Number

Area CodePhone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gender

Number of years you have lived at the above address (if less than five years, please list previous addresses below)

Do you own or rent your residence?

How did you hear about First Ladies?

Do you have a mentor (spiritual, physical, financial, career, business or personal) of your own? If so, how long have you had this mentoring relationship and what has been your experience? How has this mentoring relationship been beneficial to you?

What are your top three values?

What is your regular spiritual practice?

What is your mental/physical health practice?

What is your marital status?

Please share a little more about your family (names, ages, type of relations - son, daughter, parents, sibling, spouse, etc.).

Highest Level of Education

Employment status

Employment Details (Business Name, Address, Title/Position, Number of Years Employed)

Explain in your own words what does it mean to be a lady? a woman? a leader?

What attracted you to First Ladies?

What is your primary purpose or goal that you want to achieve by becoming a First Ladies volunteer or mentor?

Will this be your first time volunteering or serving as a mentor with an organization?

If no, in what capacities have you served as a volunteer or a mentor before? What was your experience like?

What are your Specific/Measureable/Attainable/Relevant/Timed (S.M.A.R.T) Goals for the current year and the upcoming year?

What are your top 1-3 S.M.A.R.T Goals for the next 3-5-10 years?

Fill in the blank. Leadership is____

Please choose 2 competencies you are proficient in. (If necessary, please get your manager's input while choosing competencies.)

Click here to read more about each of the One Team competencies listed below.

Rank them in order of importance- the top item is the competency that you feel you have mastered the most in your career.

Conflict occurs in any group settings. Please share how you handle conflict? Share an instance in which you had a negative or positive conflict with someone.

In your own words, please define (1) integrity, (2) commitment and (3) excellence.

Please choose from the options below how you see your role with First Ladies? (If primary interest is mentoring, please continue to complete this form. If only interested in being a volunteer, please go to the last 3 questions).

How would you approach being a mentor for a middle or a high school student?

What age or grade would you like to mentor? (middle or high school)

Can you commit to meeting with your mentee for 10 hours a month (1 Thursday per month and 1 Saturday per month)?

Can you commit to a maximum of 2 60-minute mentor meetings per month via zoom to communicate, plan and prepare for the upcoming month's mentee activities)?

Why is mentoring important to you and/or the world we live in?

What book are you currently reading?

Social Media Handles (Linkedin, Facebook, Instagram, X (formerly Twitter), Snapchat)

Work Reference 1: Contact Information (Name, Phone Number and Email Address)

Family/Other Reference 1: Contact Information (Name, Phone Number and Email Address)

Community/Other Reference 1: Contact Information (Name, Phone Number and Email Address)

Please provide any other information you believe would be important to include when your application is in review.

A background check will be required for all mentors. A mandatory reporter module is required for all volunteers working with or around children, schools, churches, etc. Do you agree to obtain a background check with the state of Georgia and/or to complete a mandatory reporting module before becoming an approved and active mentor or volunteer? Fill in the blank (Yes or No)blanks . Drivers License Number blank .

By signing below, I affirm that the above information is accurate to the best of my knowledge. Signature