2021 One-on-One Mentor Interest Form
I Am A Queen is recruiting female mentors over the age of 19 to do one-on-one mentoring with our teen participants in the Queen Arise Leadership Program. Please complete the form and if you have any questions, please email us at
info@iamaqueen.org
* Required
Program Description: Queen Arise Leadership Program
The purpose of the Queen Arise Leadership Program is to inspire young women to reach their full potential, resulting in confident, successful girls who are servant leaders to society. The program is a year-round initiative dedicated to the growth and development of underserved and at-risk girls, ages 10-18. Each girl participates in self-esteem and leadership training workshops that target keys areas in their adolescents such as money management, self-worth, healthy relationships, health and fitness, and etiquette.
The program is designed to help girls to discover their self-worth, their voice and to develop a passion to serve their communities.
Since 2011, our mentoring program has served 360 girls in Greensboro, N.C.
What is your full name?
*
Your answer
What is your phone number?
*
Your answer
What is your email address?
*
Your answer
How old are you?
*
Your answer
What city do you reside in?
*
Your answer
What is your gender?
*
Your answer
What is your nationality?
*
Your answer
What is your profession?
*
Your answer
What are your interests and hobbies?
*
Your answer
Do you have a passion to help others through community service? If so, please explain.
*
Your answer
How would you describe your leadership style?
*
Your answer
If you are accepted to become a mentor, do you agree with participating in a background check?
*
Yes
No
Other:
Do you have any questions for I Am A Queen?
Your answer
Once approved, you will receive a Zoom invitation to learn more about our mentoring program.
Submit
Never submit passwords through Google Forms.
This form was created inside of I Am A Queen.
Report Abuse
Forms
