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)

Full Name *
Your answer
Gender *
Are you over 18-years-old? *
Date of Birth *
MM
/
DD
/
YYYY
Email *
Your answer
Phone Number
Your answer
Current City *
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 *
Your answer
Rate your Vietnamese reading and writing (5 = completely fluent/proficient) *
Rate your Vietnamese speaking (5 = completely fluent/proficient) *
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? *
Your answer
2) How do you plan on motivating and influencing high school students to reach their academic goals? Any challenges? *
Your answer
3) Please describe how Project MotiVATe fits in with your current activities and responsibilities. How long can you commit? *
Your answer
4) Describe your previous experience with youth, especially at-risk youth. *
Your answer
5) Are you or were you involved in any extracurricular activities? *
Your answer
6) How did you hear about Project MotiVATe? *
Your answer
Additional comments (optional)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Project MotiVATe. Report Abuse - Terms of Service - Additional Terms