Mommy YANA Mentee Questionnaire

Todays Date

Date

Name*

First NameLast Name

Age*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Which Position are you interested in?*

Momtor IMomtor II (Bilingual/Spanish)Volunteer/Other Role

Check the Clearances you have. (Clearances need to be within last two years)*

Child Abuse (State)Criminal HistoryFBI Fingerprints

How would you prefer to communicate with your mentee?*

EmailPhoneFace to Face (Recommended)Virtual

What would you like to get out of mentoring? *

What motivates you? And what are you passionate about*

Why do you want to mentor young mothers? And why is that important to you?*

If matched how will you seek support for your mentor/mentee relationship?*

How do you feel about possible ethnic, religious, and/or racial differences between you and the student you could be matched with?*

What expectations do you have about the relationship you may have with your mentee? *

Did you ever have a mentor and do you have any mentors in your life right now?*

How open are you to sharing your personal values and learning about the differences in values of your mentee?*

Can you commit to meeting with your mentee twice a month? Can you keep communication with your mentee weekly?*

Explain your availability. *

Would you like to ask me anything about the Melanin Mommies Pgh, Inc.? *

MomTor Questionnaire