Man Up Mentoring Program - Mentor Application
Please complete the following application.
First Name
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Last Name
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Date of Birth
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Gender
Building/Room/Campus Location
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Campus Phone Number
Your answer
Cell Phone
Your answer
Email
Your answer
Hometown and State
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Job Title
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Years at CPCC
Your answer
Specific Degrees earned
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Specific Degrees pursuing
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Why do you want to be a mentor? What do you hope to gain from serving as a mentor?
Your answer
Do you have any previous experience volunteering or working with young adults? If so, please specify.
Your answer
What qualities, skills, or other attributes do you feel you have that would benefit our mentees?
Your answer
Are you willing to communicate regularly and openly with program staff, provide monthly information regarding your mentoring activities, and receive feedback regarding any difficulties during your participation in the mentoring program?
Can you commit to participate in the Man Up program for a minimum of one year from the time you are matched with a mentee?
Would you be willling to work with a student that has a disability?
Are you available to meet with a mentee 2-4 hours per month?
Are you willing to attend a mentor training session and quarterly meetings?
3MP appreciates your interest in becoming a mentor. Please read and check each of the following:
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