Lunch Buddy Interest form
Email address *
Thank you for your interest in becoming a Lunch Buddy at Carus Elementary to work with a K-6th grade student through the remainder of this school year. Please answer the following questions as honestly as possible to help us we pair you with the right student.
Please note being a lunch buddy will require reading through the Lunch Buddy Handbook ( and going to Carus to fill out a background check, before becoming a Lunch Buddy.
1. Why do you want to be a Lunch Buddy? *
Your answer
2. What are your hobbies? *
Your answer
3. Do you have experience working with kids and/or parenting? If so, please describe. *
Your answer
4. Are you comfortable working with kids who have behavior challenges? If so, please describe your experience with these settings. *
Your answer
5. Some of our Carus Lunch Buddies are very emotionally fragile. Dependability and commitment are essential qualities to establishing trust. Can you commit to showing up on time to your scheduled lunch buddy dates AND giving at least three days notice (emergency situations being the exception) if you need to reschedule/cancel your lunch buddy date? *
6. Please circle which personality characteristics describe you: *
(All traits are valued and important; we’d love a broad range of mentors to match your unique personality with the right lunch buddy.)
7. What concerns/fears do you have about being a lunch buddy? *
Your answer
8. What qualities make a good mentor/role model? *
Your answer
9. Circle all of the following lunch buddy activities you'd be comfortable with: *
10. Please provide a character reference (Name, Phone Numbers & Relationship). *
Your answer
11. Availability for required training (days of the week & Morning/Evening) *
Your answer
12. Lunch Buddy meetings are one-on-one, how many lunch period would you like to meet with a student for (Check 1): *
13. Please Check Times & Days you are able to be a lunch buddy:
10:45 - 11:25 - 5th
11:15 - 11:55 - 3rd
11:40 - 12:20 - Kinder
12:05 - 12:50 - 1st/2nd
12:30 - 1:15 - 4th/6th
Your Name *
Your answer
Phone number *
Your answer
Grade Preferences (Choose all that apply) *
Any other comments or questions?
Your answer
Thank you for your heart to invest in our students and families! We will be in touch shortly once we receive your application.
A copy of your responses will be emailed to the address you provided.
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