Canvas4aCause.org Mentor Survey
The Clubhouse Program - Mentorship Interest & Information Gathering
Email Address *
Name *
The PROMISE SSL ‘Clubhouse to Career/Clubhouse to College’ program is a group of high school youth (15-17 girls/boys) who need help transitioning into career/college/adult life. Some activities may include helping with their resumes / mock interviews / etc. How comfortable do you feel with these types of activities: *
NOT Comfortable
VERY Comfortable
We plan to include an artistic component throughout the program. Rate how comfortable you are with creative expression working with the mentee:
NOT Comfortable
VERY Comfortable
Clear selection
When you were a child, what did you want to be when you grew up? *
How did you know what you wanted to be? *
What is your profession and what do you enjoy in your spare time? *
Have you been involved in mentorship programs previously? *
If you answered yes above, please provide detail.
Are you able to commit to meeting with mentee and/or group for two 1-hour remote sessions per month? *
Are you open to in-person events once PROMISE SSL deems it safe? *
Select all that applies: *
Required
If you selected that you are available during a different time, please provide details below:
Mentees have expressed interest in the following fields, please check all which you also have an interest, experience, and/or are currently working in. *
Required
If you checked any of the above fields, please explain:
Do you know any potential mentors in your network who we should send a survey to? *
If you selected “Yes” above, please let us know the best way to reach them or if you would like to make an introduction.
How interested in Engineering/Industrial Design are you? *
Not Interested
Very Interested
How interested in Coding/IT/Tech/Social Media are you? *
Not Interested
Very Interested
How interested in Digital/Multimedia/Traditional Art are you? *
Not Interested
Very Interested
How interested in Data Analysis/Statistical Math/Entrepreneurship are you? *
Not Interested
Very Interested
Are you able to attend the below scheduled orientation sessions (select all that apply): *
Required
If you selected other, please provide your availability for orientation:
Anything else we should know about you, your background or career that might aid in helping us to pair you with a mentee?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy