Mentor Application

  • Mentor Applicaiton

    We are thrilled to see your interest in mentorship! As we receive mentee applications we will aim to pair mentors & mentees based on goals, interests, and disability. As a mentor you will be expected to check-in with your mentee either bi-weekly or monthly and attend 4 events/year.
  • Format: (000) 000-0000.

  • Mentor Questions

  • How often would you be available to check-in/meet up with your mentee?*
  • Were you ever an In-Patient at the Rehabilitation Hospital?*
  • Do you have any interest in having a mentor?*
  • Which of the following areas would you be comfortable offering advice/resources?*

  • Disability Related Questions

    We will be pairing you up with a mentee based on disability, interests, and goals
  • Select all that best describe your disability*
  • Do you use any mobility aids?*
  • How long since your disability onset/occurred?*

  • Interests

    We will be pairing you up with a mentee based on disability, interests, and goals
  • Which of the following hobbies interest you?*
  • Do you have any Parasport experience?*

  • Goals

    We will be pairing you up with a mentee based on disability, interests, and goals
  • Should be Empty: