Mentee Application
A Professional Development Workshop Series
Presented by EDCJCC and DFKDC
Email address *
Your Name:
Your answer
Last Name:
Your answer
Date of Birth:
Your answer
Phone Number:
Your answer
Your answer
Emergency Contact Name & Phone:
Your answer
Emergency Contact Email
Your answer
Are you currently in school?
If Yes, Please Name Your school:
Your answer
Are you currently employed?
If Yes, Please Name Your Job?
Your answer
Please describe previous experience with DFKDC or EDCJCC?
Your answer
Have you found difficulty finding programs relating to employment? Skills development?
Your answer
Why are you interested in “Your Path To Success”?
Your answer
What are three of your personal and/or professional goals for the next year?
Your answer
Why do you think “Your Path To Success” will help you achieve these goals?
Your answer
What are your biggest challenges toward reaching the goals described above?
Your answer
What are your top three skills/strengths?
Your answer
What are your top three areas of growth?
Your answer
Program Itinerary (January - March 2018)
January 7th or January 8th Mentor Training
Jan 21st 11AM – 1PM: Removing Labels & Goal Setting (with WUSA9’s Debra Alfarone)
Jan 29th 6:30 – 8:30PM: Digital Communication Skills – Basic Computer
Feb 4th 12PM – 2:30PM: Communication Skills
Feb 11th 10AM – 1PM: Group community service project off-site
BREAK For President’s Day (Makeup Week if there is a weather cancellation)
Feb 26th 6:30 – 8:30PM: Career Search (with Brooklyn Boulders’ Amy Rishko)
March 5th 6:30 – 8:30PM: Resume Building (with Hire Strategy’s Daniel Silverman)
March 11th – March 17th: Networking Event (with Entrypoint)
March 1st – March 18th: Off-site job visits
March 18th 11AM – 2PM: Lunch & Debrief from Job Site Visits | Learning the interview process
March 25th 11AM - 2PM: Mock interviews and final party
Objectives for Mentees/Participants:
• Develop a trusted relationship between mentors and mentees
• Increase communication skills (verbal, digital)
• Increase networking skills and social engagement
• Create professional resume
• Apply to two jobs
Objectives for Mentors/Volunteers:
• Develop a trusted relationship between mentors and mentees
• Help Mentees achieve objectives
• To help mentees connect with other peers (mentors and mentees) in a meaningful, positive way
• To assist the student in personal assessment of his/her abilities and support their transition academically, socially, and personally
Criteria & Expectations for Mentees:
• Attend all workshop sessions
• Set positive goals in personal, academic, and social behavior
• Become acquainted with all mentees and mentors in the group and establish positive relationships
• Develop a sense of individual responsibility
• Proactive follow up with mentors
• Fill out program surveys
• Coordinating own transportation for meetings with parents
In submitting this application, please agree to the following statements by checking them: I, _____________________________declare that:
Your answer
I understand that as a mentee, I may communicate and meet with my mentor outside of the intended meeting dates.
I understand the objectives and goals for the program, and will strive to help achieve those goals.
I will attend all workshop sessions. If I must miss a session, I will email 24 – 48 hours in advance to inform Glenda or Stacey of my absence and will do due diligence to makeup the session with my mentor.
I agree to taking a pre-program survey, intermediate survey, and post program survey.
I understand that there are inherent risks involved with the program.
I have read and understood the program itinerary and mentee criteria.
I agree to the above statements. Please sign your name. *
Your answer
Privacy Policy
The information provided will be used only for the internal purpose of an assessment by Dreams For Kids DC (DFKDC). The information in this application may be confidential and may be legally privileged. It is intended solely for DFKDC use. Some information may be utilized for evaluation before, during, and upon completion of the program for assessment needs – your name will be confidential. If you are not the intended recipient hereof, any disclosure, copying, distribution or any action taken or omitted to be taken in reliance of this document is prohibited and may be unlawful.
A copy of your responses will be emailed to the address you provided.
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