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Son of a Saint Mentor Application 2021
Inspiring Mentorship and Transforming the Lives of Fatherless Boys
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* Indicates required question
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Birthdate
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MM
/
DD
/
YYYY
Street Name (Apt/Suite #)
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Your answer
City
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Your answer
State
*
Your answer
Zip Code
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Your answer
Cell Phone Number
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Your answer
Personal Email
*
Your answer
Occupation
*
Your answer
What is the best way to communicate with you?
*
Choose
Cell Phone
Text
Email
How did you hear about Son of a Saint?
Facebook
Instagram
Print
Radio
TV
Word of Mouth
Clear selection
Do you have experience as a mentor?
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Yes
No
The purpose of mentorship is to teach, guide, provide advice and support to, and watch over and foster the progress of a mentee. What type of mentorship are you interested in with SOAS?
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Individual Mentor
Group Mentor
Co-Mentor
Activity Lead Mentor
Academic/Education Mentor
Career Mentor
Other:
If you answered 'yes', please briefly describe your mentoring experience.
*
Your answer
How many years of mentoring experience do you have?
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0-1
1-2
3-4
4-5
5-10
10-15
Required
How many events a month can you realistically commit to? Be mindful that weekend events can last between 3-4 hours.
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1-2
2-3
3-4
4-5
Do you feel comfortable using your vehicle to transport mentees to and from events?
Yes
No
Maybe
Clear selection
What are some of your other obligations? (Please check all that apply):
Family
Religion
Volunteering
Work/Job
Other:
What days are you available to mentor?
*
Weekdays
Weekends
Both
Other:
Required
Can you commit to mentoring for at least one year?
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Yes
No
Maybe
What neighborhood do you live in?
*
Algiers
CBD/Downtown
Chalmette
Gentilly
Kenner
Lakeview
Metairie
Mid-City
Uptown
Westbank
Not Listed
Required
If you selected 'Not Listed', please state what neighborhood you live in.
Your answer
Why do you want to become a mentor?
*
Your answer
What do you consider your greatest strengths are that will help you make an impact as a mentor?
*
Your answer
Did you grow up with your father in your home?
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Yes
No
Somewhat
Did you have a mentor in your adolescent years?
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Yes
No
If you answered 'yes', who was it and how did having a mentor support you?
Your answer
My hobbies/interests include (Please check all that apply):
*
Acting
Arts/Crafts
Baseball
Basketball
Computers
Cooking
Dancing
Engineering
Fishing
Movies
Music
Photography
Reading
Social Media
Video Games
Videography
Working Out
Writing
Yoga
Entrepreneurship
History
Running
Coding
Other:
Required
What is the highest level of education you have completed?
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High School or GED
Some college courses
Associate Degree
Bachelor Degree
Graduate Degree
Have you ever had to overcome any of the following? (Optional)
Not Applicable
ADHD
Alcoholism
Depression
Domestic Violence
Drug Addiction
Foster Care
Gang Affiliation
Gun Violence
Homelessness
Hypertension
Loss Of A Loved One
Mental Health
Poor Academic Performance
Poverty
Single Parent Household
Suicidal Thoughts
Would you like to share how you overcame one or more of these challenges? If you are comfortable sharing, this information may be helpful in assisting mentees in overcoming similar obstacles. We will always ask your permission before sharing any information provided. (Optional)
Your answer
Are you comfortable with a LGBTQ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning) or an androgynous mentee?
*
Yes
No
Please select mentee issues that you are comfortable with:
*
Academics
ADHD
Alcohol/Drug Abuse
Behavioral Health
Criminal/Gang Activity
Depression
Domestic Violence
Foster Care
Homelessness
LGBTQ
Loss Of A Loved One
Low Income
Mental Health
Poverty
Race
Sex
Single Parent Household
Stress
Suicidal Thoughts
Required
Do you know any mentors in our program?
Yes
No
Clear selection
If you selected yes, please provide the mentor name:
Your answer
Do you know any mentees in our program?
Yes
No
Clear selection
If you selected yes, please provide the mentee name:
Your answer
Please list any concerns that you may have as it relates to mentoring:
*
Your answer
Do you have any other comments, concerns, or questions?
Your answer
Professional Reference Name:
*
Your answer
Professional Reference Phone Number:
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Your answer
Professional Reference Email:
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Your answer
Personal Reference Name:
*
Your answer
Personal Reference Phone Number:
*
Your answer
Personal Reference Email:
*
Your answer
Do you have a Facebook account?
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Yes
No
If you answered 'yes', please provide your Facebook handle:
Your answer
Do you have a Twitter account?
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Yes
No
If you answered 'yes', please provide your Twitter handle:
Your answer
Do you have an Instagram account?
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Yes
No
If you answered 'yes', please provide your Instagram handle:
Your answer
Do you have a LinkedIn account?
*
Yes
No
If you answered 'yes', please provide your LinkedIn URL:
Your answer
I identify my race/ethnicity as: (Please check all that apply)
*
American Indian or Alaskan Native
Asian
Black or African American
Hispanic/Latinx
Native American
Native Hawaiian or Other Pacific Islander
Multiracial
White
Prefer not to answer
Required
How soon could you start?
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