Volunteer Mentor Signup Form

Section 2: Background & Experience
Current Occupation/Role*
Education Level*
Have you ever served as a mentor or tutor before? If yes, please describe. If no, enter 'N/A'.*
What skills, subjects, or experiences do you feel best equip you to mentor youth?*
Do you have prior experience working with children or youth? If Yes, please describe. If no, enter 'N/A'.*

Section 3: Availability & Commitment
Preferred Mentorship Format.*

In PersonVirtualHybrid
Days Available*

Tuesday afternoonsThursday afternoonsSaturday morningsSaturday afternoons
How many hours per week are you willing to commit?*
Are you willing to commit to a minimum of 3 months with the program?*

YesNo

Section 4: Interests & Strengths
What subjects do you feel most comfortable mentoring in?*

ReadingWritingMathScienceStudy SkillsOther
What qualities do you believe make a strong mentor?*
What do you hope to gain from this mentorship experience? *

Section 5: Background Screening & Safety
Do you consent to a background check as part of the application process?*

YesNo
Have you ever been convicted of a crime, other than minor traffic violations? If yes, please explain. If no, enter 'N/A'.*
Please provide two references.*
Please include your References' Names, Relationship, and Contact Information

Section 6: Volunteer Training & Program Standards
Are you willing to attend required volunteer orientation and training sessions?*

YesNo
Do you agree to follow program guidelines for safe youth interaction (e.g., no unsupervised meetings outside approved settings, maintaining professional boundaries, etc.)?*

YesNo
Do you agree to uphold Graced to Serve™ values of integrity, compassion, and service while participating in the program?*

Yes
Do you agree to ongoing evaluations/check-ins to ensure program quality and accountability?*

Yes

Section 7: Permissions & Consent
I understand that by applying, I am volunteering my time and will complete all required training and orientation.*

Yes
I consent to the necessary background checks and screenings as required for participation.*

Yes
I agree to adhere to the guidelines and expectations of Graced to Serve™ while serving as a mentor.*

Yes
I give permission for photos/videos of myself to be used for program promotion.*

YesNo
Signature*

Powered by Jotform SignClear
Thank you for applying to serve as a mentor with the Grace to Grow Youth Mentorship Program! Your willingness to invest time and encouragement into the lives of students will make a lasting impact.

Our team will review your application and contact you within 5–7 business days with next steps, including scheduling your background screening, volunteer orientation, and mentorship training.

If you have any questions, please contact us at:
📧 info@gracedtoserve.org | 📱 (334) 722-1684

We are grateful for your heart to serve and can’t wait to welcome you to the Grace to Grow™ family! 💙
Should be Empty: