LIFT UP Mentor Application for BISD
Thank you so much for your interest in becoming a mentor in the LIFT UP Mentoring program with BISD. Students and mentors are strategically matched based on multiple factors. We believe purposeful matching is essential to a positive experience for both the student and mentor. Please fill out the following application so that we can start the process of matching you with a student. 

LIFT UP Mentors must be out of high school and at least 18 years of age. To mentor a high school student you must be at least 24 years of age. 

We are currently accepting application for the 2023-2024 school year. 
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First Name *
Last Name *
Home Address (city, state and zip) *
Best Contact Phone Number *
Best Contact Email  *
What is your employment status? *
If you selected "other," please add that response below.
Name of Employer *
What time of the school day do you prefer to mentor *
What block of time are you available *
What day of the week do you prefer *
I prefer working with a student in *
I prefer to mentor a *
Do you prefer mentoring at a specific school (Select all that apply) *
Required
Do you speak a second language? If so, please list that below:
How did you hear about LIFT UP Mentoring? *
If "Other," please indicate answer below:
Please list 2 references. Include name, email and phone number *
Please check the activities you enjoy most 
** Please note that you will not be expected to actually participate in these activities with your mentee. You will remain on school property at all times. Information about your interests will help us create successful matches between mentors and mentees.
 *
Required
To help us best match you, in the space below, please share anything about yourself that will help you mentor kids who may face similar struggles. For example, struggling in school, growing up with divorced parents, not fitting in, dealing with anxiety, etc. *
PLEASE READ CAREFULLY BEFORE SIGNING
  
By entering your name below, you authorize Brazosport ISD to verify all information found in this application. Your signature attests to the truthfulness of all the information in this application. Please add your full name below:
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Thank you for making a difference one student at a time!
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