Pathways to Progress Mentorship Mentor Application

Pathways To Progress Mentorship Application

Empowering Young Women to Heal, Grow & Lead through our Mentorship Program
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Format: (000) 000-0000.
E-mail Address*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred Pronouns*
Background & Experience
What inspired you to become a mentor?*
Have you mentored someone before? If so, what was that experience like?*
Why are you interested in becoming a mentor for the Pathways to Progress Mentorship Program?*
What strengths and skills do you bring to a mentorship relationship?*
Do you have experience working with young women from historically marginalized backgrounds?*
Mentorship Approach
What inspired you to become a mentor?*
How do you support mentees in setting and achieving their personal or professional goals?*
How would you handle a situation where your mentee is struggling with confidence, motivation, or personal challenges?*
What strategies do you use to build trust and connection with a mentee?*
Commitment & Expectations
Mentors are required to meet with their mentee bi-weekly. Is this something that you can commit to?*

YesNo
What expectations do you have of your mentee?*
Diversity, Inclusion & Impact
How do you approach conversations about race, identity, and personal challenges in mentorship?*
How do you ensure that your mentee feels supported and empowered in their journey?*
What impact do you hope to make as a mentor in this program?*
Additional Considerations
Do you have any experience with mental wellness, career development, or leadership coaching?*
Are there any specific resources or opportunities you can provide to your mentee?*
Is there anything else we should know about you to ensure the best mentor-mentee match?*
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Agreement & Consent

By submitting this application, I confirm that all information provided is accurate. I understand that participation in this mentorship program requires commitment and active engagement.

Additionally, I acknowledge that a background check may be conducted as part of the application process to ensure a safe and supportive environment for all participants. By signing below, I consent to the background check process if requested.
Signature*
Signing Date*

MonthDayYear
Date
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Pathways To Progress Mentorship Application