Family Man in Training- Mentor Application

Family Man in Training-Mentorship Program

2025-26 School Year
Date

MonthDayYear
Date
Name
Email Address
example@example.com
Phone Number
Company Name
PositionTitle
Do you have experience serving as a mentor for youth or young adults?

YesNo
How many hours per week/month can you dedicate to the program?
How long are you willing to serve as a mentor for school year 2025-2026?
Choose One
What are the best days for you to participate in group mentoring activities?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What are the best times for you to participate in group mentoring activities?

9am-11am11am-2pm3pm-5pm5pm-7pm
Are you willing to participate in mentorship training?

YesNo
Are you willing to do a background check?

YesNo
Why do you want to serve as a mentor for youth and young adults interested in apprenticeship programs?
Are you able to help the FME team solicit sponsors for the program?

YesNo
If "yes" please elaborate.
Signature

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