Mentor Application
Name of Applicant
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Highest grade levels or degree completed
Please describe the ways in which you can be helpful in providing mentoring.
How can you be a benefit to the youth
Have you had any experience with mentoring, overseeing youth or leading/teaching?
Life experience is considered experience as well. Please explain your experience with youth in your personal life if you have no career experience in this role.
Is there any characteristic in a mentee that you may be uncomfortable handling? Please specify.
Can you be a mentor to more than one person at the same time? Also, would you prefer one-on-one mentoring sessions or group settings?
Please specify if you prefer a one-on-one mentoring session or a group mentoring session
Have you ever been convicted of a felony? If yes please explain.
When is the best time to contact you for an interview?
Submit
Should be Empty: