Youth Mentor Application
The Young Worker Leadership Academy: Presented by UC Berkeley, UCLA and the Commission on Health and Safety and Workers' Compensation. February 1-3, 2018 in Berkeley, CA.
Become a Youth Mentor
In order to become a youth mentor you must have previously attended the Young Worker Leadership Academy.
What year did you attend the YWLA?
Your answer
Name (First and Last)
Your answer
Street Address
Your answer
City/State/Zip Code
Your answer
School/Organization
Your answer
Phone Number
Your answer
Email
Your answer
Gender
Your answer
Briefly answer the following questions below:
Why are you interested in continuing your involvement with this project?
Your answer
What qualities do you have that will help you be a mentor to youth your age?
Your answer
Tell us about your work experience (paid or unpaid) or other community project(s) with which you have been involved:
Your answer
From the experience that you gained from working on your project, what would you like to share with other youth who will be doing their own projects?
Your answer
How will you manage your school/work and youth mentor responsibilities before and after the YWLA?
Your answer
What social media platforms do you use?
Check ALL of the times below that you are available.
You are required to participate in an all-day training before the YWLA Academy to prepare. Once the youth mentors have been selected, we will set the training date.
Required
Agreement
Required
Please submit all forms by November 7, 2017
If you have any questions or concerns please email joselyn@berkeley.edu
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