Project MotiVATe: Mentor Applicant Information
Duties of a Mentor include:
• Supporting your mentee to reach his/her academic, social and cultural goals
• Maintaining contact with your mentee’s parents
• Taking your mentee on outings
• Helping plan PM’s monthly events, workshops, and summer camp (if interested)
* Required
Full Name
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Your answer
Gender
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Female
Male
Prefer not to say
Other:
Are you over 18-years-old?
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Choose
Yes
No
Date of Birth
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MM
/
DD
/
YYYY
Email
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Your answer
Phone Number
Your answer
Current City
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Your answer
High School
Your answer
Year Graduated
Your answer
College/University you attended/currently attend
Your answer
Year Graduated
Your answer
Major(s)
Your answer
Current Occupation
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Your answer
Rate your Vietnamese reading and writing (5 = completely fluent/proficient)
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1
2
3
4
5
Rate your Vietnamese speaking (5 = completely fluent/proficient)
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1
2
3
4
5
Supplemental Questions
Please answer the following questions to the best of your ability.
1) Based on your own experiences, what can you contribute to Project MotiVATe's academic mentoring program?
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Your answer
2) How do you plan on motivating and influencing high school students to reach their academic goals? Any challenges?
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Your answer
3) Please describe how Project MotiVATe fits in with your current activities and responsibilities. How long can you commit?
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Your answer
4) Describe your previous experience with youth, especially at-risk youth.
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Your answer
5) Are you or were you involved in any extracurricular activities?
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Your answer
6) How did you hear about Project MotiVATe?
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Your answer
Additional comments (optional)
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