Ordinarie Heroes Mentor Application

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Complete this application if you are interested in volunteering as a 1 to 1 mentor in our Inspire Program and:

agree with our core values: Respect, Community, Joy, Authenticity, Integrity, Innovation

are passionate about serving marginalized and under-resourced communities

are willing to bring your creativity, time, and resources to this work

are ready to change the world

For a full description of what it means to be a mentor with Ordinarie Heroes, please click here.
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Full Name* This field is required.
First Name
Last Name
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Pronouns* This field is required.
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Birth Date* This field is required.
Date
Month
Day
Year
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Street Address* This field is required.Please do not enter your City or State
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Zip Code* This field is required.
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Phone Number* This field is required.
Please enter a valid phone number.
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Email* This field is required.
example@example.com
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Marital Status* This field is required.
Single
Married
Divorced
Widowed
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How would you best describe yourself?* This field is required.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Multiracial or Biracial
Native Hawaiian or Other Pacific Islander
White
A race/ethnicity not listed
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How would you describe yourself as a person?* This field is required.
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Why do you want to become a mentor?* This field is required.
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Do you have any previous experience mentoring or working with youth? If so, please specify.* This field is required.
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What qualities, skills, or other attributes do you feel you have that would benefit a youth? Please explain.* This field is required.
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Can you commit to participate in this 1 to 1 youth mentoring for a minimum of one year from the time you are matched with a youth?* This field is required.
YESNO
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Are you available to meet with a child at least four hours per month and have contact at least once per week (in person, phone call, or virtual)? Please explain any particular scheduling issues.* This field is required.
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Are you willing to communicate regularly and openly with program staff, provide monthly information regarding your mentoring activities, and receive feedback regarding any difficulties during your participation in the mentoring program?* This field is required.
YESNO
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Reference #1 Full Name* This field is required.
First Name
Last Name
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Reference #1 Email* This field is required.
example@example.com
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Reference #1 Phone Number* This field is required.
Please enter a valid phone number.
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How do you know this person and for how long?* This field is required.
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Reference #2 Full Name* This field is required.
First Name
Last Name
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Reference #2 Email* This field is required.
example@example.com
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Reference #2 Phone Number* This field is required.
Please enter a valid phone number.
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How do you know this person and for how long?* This field is required.
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I have read and understood the program’s rules, regulations, and responsibilities for becoming a mentor. If selected I will follow the rules of the program and be a dedicated mentor. I agree to the time commitment to my mentee of 4 hours a month for 12 months.
YESNO
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SignatureBy signing below, I attest to the truthfulness of all information listed on this application and I agree to the Ordinarie Heroes team contacting the references I've listed.
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