MENTOR INTEREST FORM (VISIONARY ACADEMY)

1
Mentor Qualifications:

Inspire dreamers to transform their communities by setting new standards

Provide a nurturing environment for students to explore their passions and develop critical thinking, problem-solving, and innovation skills

Empower students to make a positive difference in the world by promoting diversity, inclusivity, and community engagement

Mentor Commitment:

Available for a minimum of 4 hours per month (1 hour per week)

Attend all schedule meetings

Complete required training(s)
2
Name* This field is required.
First Name
Last Name
3
E-mail* This field is required.
example@example.com
4
Phone Number* This field is required.
Area Code
Phone Number
5
Occupation & Employer* This field is required.
6
Days Available* This field is required.Available for a minimum of 4 hours per month (1 hour per week)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
7
Do you object to Vision Driven 757, INC running a background check on you? (Note: Submitting to a background check is a requirement to serve as a Mentor for Visionary Academy.)* This field is required.
no
yes
8
Explain how your involvement will benefit the participant(s).* This field is required.
9
Mentor Experience (optional)
Should be Empty: