Mentorship Sign up / Questionnaire
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please list your current business or non-profit affiliation, if applicable.
What is your educational background?
Categorize your age.
20-29
30-39
40-50
Other
Do you have a preference for working with younger participants (12 and under) or older participants (13 and up)?
Younger
Older
What are your hobbies outside of work? (select all that apply)
Cooking
Gardening
Outdoor Sports
Arts and Crafts
Boys and their Toys
Technology Activities
Other
Do you prefer communicating by text or by email?
Texter
Emailer
How often do you want to be in contact with your mentee?
Twice a Week
Once a Week
Every other Week
When you think about communicating with your mentee, how do you envision the relationship?
More casual – we will contact each other when we want to talk, knowing that the other person will be available for me when needed.
More structured – we will schedule phone calls, e-mails, or personal meetings to ensure we keep up with one another.
If you had to complete a background check, would you be open to completing even if there may be a cost?
Please Select
Yes
No
Other
Please share any other interesting or key factors that make you a great selection.
Submit
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