Mentor Application Form
Apply to become a mentor with the Boys & Girls Club by sharing your experiences, values, and perspectives.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
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Why are you interested in becoming a mentor with the Boys & Girls Club?
What experience do you have working with youth (formally or informally)?
What skills, talents, or personal strengths do you feel would make you a strong mentor?
What values or qualities do you believe are most important for a mentor working with youth?
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Are you able to commit a minimum of 4hrs per month to this program, for at least a one year commitment?
Are you comfortable completing an interview, background check, fingerprinting, online training and in-person orientation?
Which mentoring location do you prefer: Waynesboro or Staunton?
Did you read and fully understand the mentorship role description? If so, are you willing to commit to this volunteer opportunity if selected as a mentor?
Please Select
Yes
No
Please Note: We are conducting a soft launch of the mentorship program during the spring semester, with an intent to fully launch during the 2026–2027 academic year. Applications will remain on file for future start dates, and interviews for prospective mentors will be conducted on a rolling basis throughout the year. Please Initial below.
All qualified mentor applicants will be required to participate in an interview. Interviews will focus on:- Trauma-informed care and supportive practices - Building rapport and trust with youth- Managing varying needs and behaviors- Prior experience working with children or youth. Please Initial below.
Submit Application
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