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A Promise to Keep - Peer Mentor's Application
Untitled Title
Untitled Title
Are you a New Mentor or a Returning Mentor
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Father's First Name
Your answer
Father's Last Name
Your answer
Mother's First Name
Your answer
Mother's Last Name
Your answer
Address *
Street
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Home Telephone *
Your answer
Cell Phone *
000-000-0000
Your answer
Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Church/Parish *
If other:
Your answer
Graduating Class of: *
Ex.) 2020
Your answer
Lunch Time
If known
Time
:
Are you involved in sports or extra-curricular activities? Please list the activities you are involved in and also, in which months are you especially busy? There is a commitment of time required of each mentor in order to be well prepared for each presentation. *
Your answer
Name friends both male and female, who have also applied to serve as mentors, you would like to have in your group. *
Your answer
Please check any of the following that apply to you: *
Required
******MENTOR STATEMENT********
Before answering the following questions, please consider the rationale behind a peer mentoring program.
Research studies have found it is essential that peer mentors “live up to” the same standards they teach in order to convince others to make positive choices regarding their behavior. In this way, mentors prove, through their own life experiences, that it is possible to overcome the pressure to be sexually active. This is why we must ask if you “qualify” for this peer mentoring chastity program. The effectiveness of this program greatly depends on having peer mentors who can honestly say something like: “I have resisted the pressures to have sex and you can, too!” OR “These are the reasons why I have chosen to remain a virgin.”
What do the friends who you hang out with most of the time think about having sex before marriage? *
The topic of Same Sex Attractions is often discussed in society and media today. What do you know about the Catholic Church’s teaching on individuals who have same sex attractions? *
Your answer
Today's teens face pressure at unprecedented levels. Over the past year, what was a time or situation in which you found yourself facing peer pressure? How did you handle the situation? What did you learn from the experience? *
Your answer
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