Mentor Interest Survey Form
We’re excited that you’re interested in becoming a mentor! Mentoring is a powerful way to share your experience, support others in their personal and professional growth, and make a meaningful impact. To better understand how you’d like to contribute and align your interests with mentees who can benefit from your expertise, please take a moment to fill out this survey. This survey will help EYMP know more about you and your interests and help us find a good match for you.
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What are the best times for you to meet with your mentee? Please check all that apply
Weekdays
After School
Evenings
Weekends
Other
Please indicate age group(s) and/or you are interested in working with:
Age 8-10
Age 11-14
Age 15-18
Age 19-21
Do you speak any languages besides English? If so, which ones?
What are your favorite activities to do with others?
What are your favorite subjects to study?
What is your job and how did you choose that field?
What is one goal you have set for the future?
If you could learn something new, what would it be?
What person do you most admire and why?
Describe your ideal day:
Please list any areas of strong interest
Let's know some more things about you and your personality
What activities or hobbies do you enjoy in your free time?
Do you prefer indoor or outdoor activities?
Indoor
Outdoor
Both
Are you into creative activities?
Drawing, Painting, or Crafting
Writing or Journaling
Playing Musical Instruments
Other
Which sports or physical activities do you enjoy, whether it’s playing, watching, coaching, or something else?
Do you enjoy playing games?
Video Games
Board Games
Puzzles
Other
How do you feel about trying new activities or experiences?
I love trying new things
I am open to new experiences
I prefer familiar activities
Would you enjoy cooking or baking with a mentee?
Yes
No
Do you enjoy traveling or going on day trips? What kinds of places do you like to visit?
Nature (e.g., parks, beaches, mountains)
Cultural Spots (e.g., museums, festivals)
Adventure (e.g., amusement parks, sports events)
Other
How do you prefer to spend your weekends?
Relaxing at home
Going out to events or gatherings
Exploring new places
Spending time with friends and family
Other
How would you describe your personality in social situations?
Outgoing and Energetic
Calm and Thoughtful
Creative and Imaginative
Other
What role do you see yourself playing as a mentor?
A guide and teacher
A supportive listener
A friend
Other
How do you usually handle challenges or conflicts?
I face challenges head-on
I take time to reflect before acting
I seek advice or help from others
Other
Which activities are you most looking forward to enjoying with your mentee?
Sports
Creative projects like arts and crafts
Learning and exploring new skills together
Other
How would you describe your communication style?
Direct and Assertive
Patient and Understanding
Supportive and Encouraging
Other
How comfortable are you with mentoring someone with different interests or background than yours?
Very comfortable
Somewhat comfortable
Prefer mentees with shared interests
Other
What do you hope to gain from your experience as a mentor?
Personal Growth
A meaningful connection
A chance to give back
Other
Submit
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