Facilitator, Mentor, Advisor Interest Form: Training Academy
The Austin17House Training Academy prepares teens (14 - 18) for life and workplace success through hands-on skill-building, mentorship, and community support. Whether you have an hour to spare or a long-term commitment to give, there are many ways you can get involved. From sharing your expertise as a facilitator to mentoring and advising youth, your involvement will have a lasting impact on our local teens. By donating time, sharing your talent, or contributing treasure, your involvement makes a difference. Below, you’ll find a quick reference chart to help you choose the role that aligns with your schedule and interests.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
City/Town and State
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Which roles are you interested in? (check all that apply)
Showcase Advisor
Session (Co) Facilitator
Level Up Workshop Assistant
Training Academy Mentor
Real World Activities Mentor (choose specific interests below)
Perspective Facilitators: Which sessions are you interested in co-facilitating?
Adulting 101: Health & Wellness, Time Management
People Skills: Communication, Team Work
Workplace Readiness: Jobs and Careers, Employee Success
Perspective Level Up Workshop Assistants: Which sessions are you interested in co-facilitating?
Problem Solving
Emotional Intelligence
Personal Finance
Budgeting
Job Search
Leadership
Setting Boundaries
Decision Making
Perspective Real World Activities Mentor: Which stations are you interested in leading?
Agriculture
Apiary
Athletics
Client Services
Cooking
Cosmetology
Customer Service
Electric
Fabrication
Fashion
Health
Hospitality
HVAC
Metal Working
Music
Performance
Plumbing
Public Speaking
Recording
Sewing
Serving
Technology
Wellness
Woodworking
Writing
Other
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Which days are you available? (check all that apply)
Daytime Hours
Evening Hours
Mondays
Tuesdays
Wednesdays
Fridays
Why are you interested in joining the Training Academy?
Do you have any accessibility needs or schedule limitations?
Do you have reliable transportation to get to Austin17House?
Please Select
Yes
No
Sometimes. I might need help
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.
Have you completed the Austin17House Volunteer Form?www.austin17house.org/volunteering-with-us
Yes
No, and I will do that next using the webpage address above
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