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Maydm Mentor Application
Please complete the form below so that we can best pair you with a student. In addition to this form, all mentor applicants must complete a Background Check. Complete the Background check document, and email it to admin@maydm.org. The document can be found using the following link:
bit.ly/2NEJXbC
What is your full name? *
Your answer
What email address should we use to contact you? *
Your answer
What phone number should we use to reach you? *
Your answer
May we text you? *
Please share your gender. *
Your answer
What is your race/ethnicity? *
Your answer
Please read Maydm's Confidentiality Agreement and check "yes," affirming you have read and understand the agreement. The Confidentiality Agreement can be found using the following link: bit.ly/2Og5swv *
Required
Describe your occupation. *
Your answer
What inspired you to go into this field? *
Your answer
What company/organization do you work for? *
Your answer
What do you enjoy doing outside of work? *
Your answer
Do you have any experience working with middle/high school aged students? If so, to what extent? *
Your answer
Describe yourself in middle/high school. What were you like? *
Your answer
What were your favorite classes/subjects in middle/high school? *
Your answer
What extracurricular activities did you participate in when you were in middle/high school? *
Your answer
Have you completed your background check and sent the completed forms to valeriam@maydm.org? *
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