BCF Mentor Interest Form
Full name
Your answer
Email address
Your answer
Ethnicity (Please select all that apply)
Age range
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Cell Phone
Your answer
Work phone
Your answer
Home phone
Your answer
Preferred Phone
Contact information we can share with other mentors
How did you hear about our program?
Your answer
Occupation
Your answer
Employer
Your answer
Employer Address
Your answer
Colleges and degrees
Your answer
What are your hobbies and special interests?
Your answer
What do you believe you bring to the mentor relationship that will benefit a scholar?
Your answer
If you had an important adult in your life in your teenage and/or college years, what are the qualities that you appreciated most in that relationship?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Berkeley Community Fund. Report Abuse - Terms of Service - Additional Terms