L3 Career Mentors Enrollment Form

L3 Career Mentor Enrollment Form

Thank you for your interest in becoming an L3 mentor! Mentors will meet with mentees for min 3 hours a month on topics outlined in the L3 curriculum. Mentors will have a monthly meet up on the third Wednesday of the month (via Zoom). "On-the-job" mentoring occurs bi-monthly. Attendance at the Mentor Orientation (via video) and the Mentor-Mentee Meet & Greet (via zoom) are required for selected mentors. Email info@l3ladies.org for additional information.
Full Name*

PrefixFirst NameLast Name
Race/Ethnicity
Date of Birth

MonthDayYear
Date
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Select Region
County
County
Who is your current employer?*
Current occupation or profession*
Do you prefer to mentor a middle school girl or a high school girl?*
Can you commit to mentoring for the Next 6 Months?*
Can you attend mentor orientation? (via video)*
Can you bring the Mentee to your job for at least 2-3 hours for lunch and/or training bi-monthly (3 times total)? (or zoom due to covid or location)*
Can you travel to the Mentees' school or to the library to meet with her? (or zoom due to covid or location)*
Can you spend a minimum of 15 minutes reviewing L3 curriculum before meeting with your mentee?*
What are some of your hobbies?
What is/was your favorite subject in school?
Why is Mentoring Important to You?*
Enrollment Documents

i.e. Code of Conduct, Affidavit of Good Moral Character, Background Check Authorization, Non-Disclosure Agreement.
If you have already completed these documents you may upload them below. If you would like to complete them electronicaly via docusign, please answer "Send via DocuSign" below.
Enrollment Docs*

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Upload completed Career Enrollment Docs

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Upload completed Affidavit of Good Moral Character *

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Upload completed NDA*

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Upload complete Background*

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You will hear from us to find out if you were matched with a mentee. Mentors who are not matched will be placed in our mentor pool. We have ongoing/rolling enrollment each month. So we may have a mentee match for you in a future enrollement. If you have any questions, contact us at 850.445.3144 or send on email to info@l3ladies.org. Thank you for your interest in becoming an L3 mentor!
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L3 Career Mentor Enrollment Form

Enrollment Documents