Brotherhood Sign Up Form

Date

Brother's Name

Brother's Email

example@example.com

Brothers,

Thank you for your interest in joining our growing Alpha Academy Mentorship Program. Alpha Academy comprises of three main programs:

Saturday Academy: Meet monthly on the 2nd Saturday for 4 hours. Trips could occur on other weekends and be longer than 4 hours.

Arundel High School: Brothers will be with mentees at Arundel High School in Gambrills, MD, during their "Pride Period" around lunchtime. Expect a two-hour commitment. Bi- Weekly, from 11:00A - 12:30P

Annapolis High School: Similar to the program at Arundel High School (Bi Weekly, one meeting in School, 2nd Panther period & 3rd Period 10:55 - 12:50). Also please note that we need 1:1 mentorship for this portion of the program.

Please use this form to let us know:

1: If you would like to be a part of the planning committee or serve as a mentor

2: If you would like to serve on a planning committee, which ones?

3: If interested in serving as a mentor only, which ones? For this one, we would also like an estimate of how many Saturdays or weekdays you can give.

4: If interested in the 1:1 mentoring at Annapolis HS, please provide additional information on your background, interests, goals, and skills. This will aid in matching you with a mentee.

Preferred program participation:

Planning & Coordination (All program planning and coordination): Meetings Wednesday evening twice a month, coordination as neededSaturday Program (joint topic presenters, food crew): Once a month, 2nd Saturday, from September - JuneAnnapolis High School (30 mentors needed): Meetings in School 1-2 times per month from September - June, mentor schedule is determined by mentor and menteeArundel High School (consistent mentors needed): Meetings in school 1-2 times per month from September - June

Based on the selections you made above, please provide your best estimate of days you will be available.

Saturday program dates

Arundel High School Dates

Annapolis High School Dates

Current Occupation

Educational Background

What are your goals for participating in this program?

Are there any particular skills or knowledge areas that you are interested in developing?

Do you plan to get Mentor Training?

YesNo

Alpha Academy Mentoring Program

Alpha Brother's Information

Instructions

Participation Level

Saturday Academy

Arundel High School

Annapolis High School

Mentor Training