Volunteer Mentor Application

Apply To Get Involved!

Hello and welcome to CSC! We are glad you are here. Please complete the following information to help us match you with opportunities that best align with your availability and interests. Once you submit the application, a member of our team will contact you to schedule a meeting and discuss next steps.
Full name

First nameLast name
Date of birth

MonthDayYear
You must be 18 years or older to apply.
Phone number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Help us improve our outreach efforts! How did you hear about our organization? Please select all that apply.

Other (please specify):
Why are you interested in volunteering with CSC? Please select all that apply.

Other (please specify):
Will you receive course credit for your hours with CSC?

Other (please specify):
Are you interested in an AmeriCorps position? (AmeriCorps members are eligible for the Segal AmeriCorps Education Award upon completing their service.)
Are you a U.S. citizen, U.S. national, or lawful permanent resident?
Have you previously served as an AmeriCorps member?
If you previously served as an AmeriCorps member, please specify the dates of service, location, and contact information, so we can verify your eligibility to serve again.
How many hours per week are you available to contribute?
When can you start?

Other (please specify):
Can you commit to the full year?

Other (please specify):
Which activities are you interested in? Please select all that apply.

I have another specialized skill that I would like to contribute (please specify):
Describe your experience related to the activities you checked above.
What qualifications make you a strong candidate for this position? Please describe relevant skills, background, certifications, or other attributes that will help you excel in this role.
Why do you want to work with CSC? How does this position align with your personal goals? What do you hope to learn or gain from this experience?
How can we trust that you will prioritize your role with CSC and fulfill 100% of the position's requirements?
Please note any questions, comments, concerns, or additional information you would like to share with us.
Mentoring & Tutoring Applicants Only

Please answer these questions only if you are interested in our K-12 student mentoring or tutoring positions.
Please select the days you are available to meet with students.
On the days you selected above, are you available to meet with students between 3:30 and 8:30 during the week or in the morning or afternoon on the weekends?

Other (please specify):
Can you be flexible in your scheduled meeting times to meet the competing demands surrounding our students and families? That is, could your meeting time change from week to week, or could you reschedule your meeting halfway through the week to occur in that same week?
Are you able to commit to attending a weekly and monthly meeting with your supervisors to discuss your cases?
Are you able to commit to completing required weekly and as-needed documents and paperwork for the students you serve?
Are you willing and able to be persistent in reaching out, patient in building trust, and consistent in communicating with our students and families?
Are you willing to complete our comprehensive training, competency assessment, and in-person orientation?
Are you willing to complete a comprehensive background check that includes fingerprinting?
Are you willing to complete a health assessment and TB test?
Will you have reliable transportation to and from weekly meetings?

Other (please specify):
Are you willing to provide us with photocopies of your car insurance and driver's license?

Other (please specify):
Professional Reference

Please include at least one professional reference who can attest to your ability to perform the duties associated with this position. This person may be a supervisor, professor or instructor, employer, etc.
Full name

First nameLast name
Title and Place of Employment

Job title/position (e.g., clinical director, professor)Company
Relation to applicant
(e.g., direct supervisor, course instructor, college professor, current employer)
Email
example@example.com
Phone number
Format: (000) 000-0000.
File Upload
Please upload your CV or resume.

Cancelof
For communication/marketing and graphic design applicants, please upload a portfolio or recent examples of your work.

(e.g., a recent flyer or poster you created, a social media graphic you designed, or a monthly newsletter you authored)
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Signature and Verification

Please provide your signature below certifying that the information provided in this application is accurate and complete and you are indeed the person who is named at the top of the application.
Please provide your signature.
Please verify that you are human.
Should be Empty:

Apply To Get Involved!

Mentoring & Tutoring Applicants Only

Professional Reference

File Upload

Signature and Verification