SADEEQ Mentor Application Form
Please fill out this form to apply as a mentor!
Full Name
*
First Name
Last Name
Age
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Why do you want to be a SADEEQ mentor?
*
Describe a time you helped, supported, or looked out for someone younger or less experienced than you.
*
What qualities do you think make a good role model?
*
Which division feels like the right fit for you?
*
Mentorship
Experience
Either
What age group do you feel most comfortable with?
*
Ages 6–8
Ages 9–12
Both
Is there anything about yourself you think we should know when considering your application?
Can you commit to sessions twice a month for the duration of the program?
*
Yes
No
Other
Further clarification
Are you able to arrive 30 min early and stay 30 min after each session to help set up and wrap up?
*
Yes
No
I have questions
Submit Application
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