Prospective Mentor Questionnaire
Thank you for your interest in our mentorship program. The Anti-Recidivism Coalition seeks to provide mentorship to our community members in the most authentic way possible. Of course, cultivating that connection takes some time. In order to best serve our members and meet them where they are, this survey will help us select the most compatible mentor mentee relationship.

If your application is selected you will receive an e-mail with dates and times of upcoming orientations and next steps.
First and last name:
Contact number: *
E-mail address: *
Occupation:
Have you participated as a mentor in the past?
Clear selection
Please describe prior mentorship experience (if applicable)
Have you participated as a mentee in the past?
Clear selection
Have you ever mentored anyone who is or was incarcerated?
Clear selection
Have you or anyone you've known been incarcerated? If so, whom?
Clear selection
What motivated you to select our program?
Clear selection
What expectations do you have from the relationship you will have with your mentee?
How did you connect with ARC?
Do you have any doubts or concerns about being a mentor? Please describe.
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