Application Requesting FISH Mentor
Please fill out an application for each need you or your student(s) have, so we can process your request for a FISH Mentor. This information will be used to match your student/class with a mentor that can support the student or class needs and ensure that there will be limited scheduling conflicts. If you have questions about FISH, please contact tcooper@jabacares.org or visit https://www.jabacares.org/fish
Parent or Educator Requesting a Mentor Information
Please provide your contact information in case we need to reach out about your request.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone
*
Please enter a valid phone number.
Your Role:
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School Staff/Teacher
Parent/Guardian
Other
What type of support are you requesting?
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PARENT request: Virtual (one-on-one via Zoom or Google Meet)
EDUCATOR Request: In-Person, available only in the classroom/school/afterschool program and with teacher support. Parents may request in-person mentoring but it may not be available. ALL MENTORING OUTSIDE OF SCHOOL IS VIRTUAL ONLY.
Other
Teacher Information
Parents/Guardians: If possible, please include the teacher's information, so we can follow up with them about students' needs. For in-person classroom support, teacher information is required for coordinating. (Please note: not all teachers are able to accommodate an in-person mentor.)
Name of Teacher
First Name
Last Name
Email for Teacher
example@example.com
Phone of Teacher
example@example.com
Parent Information
Parent information is required when the parent/guardian requests a mentor. Teachers requesting a classroom mentor do not need to complete this section.
Name of Parent
First Name
Last Name
Email for Parent
example@example.com
Phone for Parent
example@example.com
Address for Parent
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student and/or Need Information
Please provide the information for the student(s) needing support. If you are requesting general classroom support, please answer the questions to the best of your ability.
Name of Student (if applicable)
First Name
Last Name
Email of Student (if applicable)
example@example.com
Address of student
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade Level of Student/Class:
*
School that Student/Class Attends:
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School District (even if home schooled or attending virtual school)
*
What are preferred times/days for mentor support?
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Does your student/class have particular interests/hobbies?
How can a mentor support your student/class? If you are looking for academic support, please list any subjects that the student could use help with. Note that our mentors do not give instruction on material but act as a guide and coach.
*
Is there anything else you'd like us to know when looking for a mentor?
What Happens Next?
We will process your application/request and work to identify a mentor based on availability and interests. Due to mentor availability, we may place you on a waitlist. After a mentor has been identified, we will introduce you over email and suggest having an initial Zoom Meeting or call to determine a mutually beneficial schedule and establish solid communication.
Submit
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