Mentor Interest Survey
The following questions will help identify youth you may share similar interests with. Please answer honestly and understand it is only preliminary information. Only you and the youth will be truly able to identify a connection. This information will remain confidential and will not be shares with any of the youth.
Name
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First Name
Last Name
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Mentor Experience
The following questions relate to mentoring motivation and commitment.
How did you hear about the mentoring program?
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Are you willing to undergo a background check and fingerprinting for security purposes? All mentors must pay a $30 fee to assist with the cost of screenings
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Yes
No
Have you been a mentor before?
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Yes
No
Mentoring is a long-term commitment. Are you able to commit to spending at least 4 hours a month for at least 6 months?
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Yes
No
What do you hope to gain from being a mentor?
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Describe any past experiences that may be beneficial in your mentoring relationship. (This can be related to your personal history, education, employment, unique experiences, etc.)
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What do you know about the foster care system? How do you think it impacts young people? (Background knowledge is not required for mentors. This is just to gauge what you are familiar with.)
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What is the ideal youth you would want to mentor (age, race, religion, personal qualities, etc.) Please be honest! This is just to get an idea of your comfort level. **Please note we match male mentors with male youth and female mentors with female youth**
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How many miles are you willing to travel to mentor a youth?
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Less than 5 miles from my home
Less than 15 miles from my home
Less than 30 miles from my home
No mileage restriction
About You
The following questions will be centered around you and your interests. This will be used to help match you with a youth.
Please describe any hobbies, interests, or special skills you have.
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What is something you are passionate about that you love sharing with others?
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Who was someone that made a big difference in your life growing up?
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