Girl Tyme Mentor Application
Please complete application. If you have any questions or concerns, please email GirlTymeMentoring@Gmail.Com
Email address *
Name
Date of Birth *
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Address *
Email *
Phone number *
Current occupation?
Are you currently enrolled into school? If yes, provide attending school *
Highest Grade Completed *
Required
Why are you interested in becoming a Mentor? *
Do you have any previous experience volunteering or working with youth? If so please specify. *
How would you describe yourself as a person? *
What are you expectations for Girl Tyme? *
Please provide a brief introduction about yourself; you can include things such a your favorite foods, hobbies, things you like to do at home, general interest and anything else you'd like your potential Mentee to know about you *
Are you willing to participate in mandatory monthly activities? *
Are you available to meet/ contact with your assigned Mentee two days a week? Please explain any particular scheduling issues. *
Are you willing to communicate regularly and openly with program staff, provide weekly logs/ reports regarding your mentoring activities, and receive feedback regarding any difficulties during your participation in the mentoring program? *
Are you willing to complete an interview with founder? *
Girl Tyme Mentoring Program requires a one year commitment, is there anything that would disrupt your one year involvement? *
Have you ever been arrested or convicted of a crime? If so, please explain. *
Have you ever been investigated or convicted of abuse or neglect? If so, please explain *
Emergency Contact (name, relation and phone number) *
Please list 2 references
Please sign and date. This affirms that all above information is true to the best of your knowledge. *
Girl Tyme Mentoring Consent Form
Thank you for your interest in the Girl Tyme Mentoring Program. We pride ourselves on being accountable to the community and engaging in safe practices throughout our program.
Please check each of the following:
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Required
Signature and Date *
A copy of your responses will be emailed to the address you provided.
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