Mentor Application
Career Focused Mentoring Program
Full Name
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Prefix
First Name
Middle Name
Last Name
Date of Birth
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Month
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Day
Year
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E-mail
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Phone Number
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Area Code
Phone Number
Upload your resume
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Upload a File
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Employer Name
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Occupation
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We have several ways we plan to utilize our mentors, which one(s) interests you?
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Panel Speaker
Workshop Facilitator
Community Outreach
Youth Led Projects Ally
One-On-One Mentoring
Host a Company Tour
Host Youth Intern at Workplace
Host an In-Kind Drive
Youth Pathway Stipend Sponsor ($500)
Other
Will you agree to have You Grow Girl! check your background through federal and state agencies for criminal records and child abuse and neglect proceedings?
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Yes
No
Have you ever been convicted of a crime?
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Yes
No
If “Yes”, please explain
Why do you want to be a mentor?
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Do you have any previous experience volunteering, mentoring, or working with youth?
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Do you have any hobbies or special skills?
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What support or resources would you need to be successful as a mentor?
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As a youth, did you have a mentor? What was successful and challenging about being mentored?
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Submit
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