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:
Your answer
Contact number: *
Your answer
E-mail address: *
Your answer
Occupation:
Your answer
Have you participated as a mentor in the past?
Please describe prior mentorship experience (if applicable)
Your answer
Have you participated as a mentee in the past?
Have you ever mentored anyone who is or was incarcerated?
Have you or anyone you've known been incarcerated? If so, whom?
What motivated you to select our program?
What expectations do you have from the relationship you will have with your mentee?
Your answer
How did you connect with ARC?
Your answer
Do you have any doubts or concerns about being a mentor? Please describe.
Your answer
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