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Son of a Saint Mentor Application 2020
Inspiring Mentorship and Enhancing the Lives of Fatherless Boys
Email address *
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Birthdate *
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Street Name (Apt/Suite #) *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone Number *
Your answer
Personal Email *
Your answer
Occupation *
Your answer
What is the best way to communicate with you? *
How did you hear about Son of a Saint?
Do you have experience as a mentor? *
If you answered 'yes', please briefly describe your mentoring experience. *
Your answer
How many years of mentoring experience do you have? *
Required
How many events a month can you realistically commit to? Be mindful that weekend events can last between 3-4 hours. *
Do you feel comfortable using your vehicle to transport mentees to and from events?
What are some of your other obligations? (Please check all that apply):
What days are you available to mentor? *
Required
Can you commit to mentoring for at least one year? *
What neighborhood do you live in? *
Required
If you selected 'Not Listed', please state what neighborhood you live in.
Your answer
Why do you want to become a mentor? *
Your answer
What do you consider your greatest strengths are that will help you make an impact as a mentor? *
Your answer
Did you grow up with your father in your home? *
Did you have a mentor in your adolescent years? *
If you answered 'yes', who was it and how did having a mentor support you?
Your answer
My hobbies/interests include (Please check all that apply): *
Required
What is the highest level of education you have completed? *
Have you ever had to overcome any of the following? (Optional)
Would you like to share how you overcame one or more of these challenges? If you are comfortable sharing, this information may be helpful in assisting mentees in overcoming similar obstacles. We will always ask your permission before sharing any information provided. (Optional)
Your answer
Are you comfortable with a LGBTQ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning) or an androgynous mentee? *
Please select mentee issues that you are comfortable with: *
Required
Do you know any mentors in our program?
If you selected yes, please provide the mentor name:
Your answer
Do you know any mentees in our program?
If you selected yes, please provide the mentee name:
Your answer
Please list any concerns that you may have as it relates to mentoring: *
Your answer
Do you have any other comments, concerns, or questions?
Your answer
Professional Reference Name: *
Your answer
Professional Reference Phone Number: *
Your answer
Professional Reference Email: *
Your answer
Personal Reference Name: *
Your answer
Personal Reference Phone Number: *
Your answer
Personal Reference Email: *
Your answer
Do you have a Facebook account? *
If you answered 'yes', please provide your Facebook handle:
Your answer
Do you have a Twitter account? *
If you answered 'yes', please provide your Twitter handle:
Your answer
Do you have an Instagram account? *
If you answered 'yes', please provide your Instagram handle:
Your answer
Do you have a LinkedIn account? *
If you answered 'yes', please provide your LinkedIn URL:
Your answer
I identify my race/ethnicity as: (Please check all that apply) *
Required
How soon could you start?
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