Mentor Application

Mentor Application
Applicant Contact Info:

First NameLast Name
Email:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Professional Information
Profession/Industry:
Title:
Current Employer:
:
Current Employer Street Address:
Personal Information
Gender:
Ethnicity/Race:
Languages in which you are fluent:
What are the characteristics that best describe you? (select 5):
Educational Information
(Because you will mentor a student who is college bound, it is a requirement that you are a college graduate.)
College(s) and Degree (s):
Were you the first person in your family to attend college?
Mentoring Information
Why do you want to become a mentor?
Do you have previous experience volunteering or working with youth? If yes, please briefly describe it.
We ask that mentors make at least two quality contacts with their mentee each month (phone call, meeting, or substantial email), sophomore through senior year of high school. Are you able to maintain this level of interaction/support?
How did you hear about Savannah Scholars?
Acknowledgement of Background Check
If selected as a mentor, I understand that Savannah Scholars will conduct a background check prior to meeting with students. Signature
Should be Empty:

Professional Information