Mentor Application form
Become a mentor for a young person ages 12-21 in Maryland. Students are primarily in Baltimore City, Baltimore County and Howard County.
Email address *
Name *
First and last name
Your answer
Date of Birth
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YYYY
Email *
Your answer
Preferred Contact Number *
Your answer
Address *
Your answer
Ethnicity *
Your answer
Employer, Job Title *
Your answer
Education Completed *
Required
What motivated you to apply to be a mentor?
Your answer
Will you be able to meet/speak with a student at least 4 hours per month during the year? *
What are your hobbies, special skills, or other interests?
Your answer
What do you like to do in your leisure?
Your answer
What other affiliations/experience do you have with service or volunteer organizations?
Your answer
What do you hope to gain from the mentoring experience? *
Your answer
What do you hope your mentee gains from the mentoring experience? *
Your answer
Do you have prior mentor experience?
If yes, please explain: (Program Name & Dates)
Your answer
How many students would you like to mentor? *
Required
Are you willing to submit to a background check, including fingerprints? *
List two people who can serve as character references for you. (Name, relationship, phone number, email)
Your answer
Thank you for taking the time to fill out this application! We ask that you also please submit a resume to youth@gbul.org so that we may get a better picture of who you are and better match you with a mentee.
Your answer
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