Mentor Form

Employment Status *
Address *
Date of Employment *
Position Held *
1. Why do you want to be a mentor?
2. Do you have any previous experience volunteering or working with youth? If so, please specify.
3. What qualities, skills, or other attributes do you feel you have that would benefit a youth? Please explain.
4. Can you commit to participate in The Youth Center at Mariacutty mentoring program for a minimum of 3 months from the time you are matched with a youth?
5. Are you available to meet with a young person eight hours per month and have contact at least once per week? Please explain any particular scheduling issues.
6. 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?
7. Are you willing to attend an initial mentor training session and two in-service training sessions after being matched?
8. Criminal records? Please specify
Disclaimer
Please read the terms and agreement I agree to the terms and conditions