Canopy NWA Mentor Application
Canopy NWA is launching its Good Neighbors mentorship program in May 2019. This program will pair 25 adult newcomers in our community to 25 well established community members to help them increase their sense of connectedness to the community and help them achieve 1-2 focused objectives for themselves or their families. These goals can be anything from improving their English skills to creating a college savings account. The goals just have to be focused. The program will last for three months starting in May 2019 and ending in July 2019.

Mentors must commit to three months of mentorship with at least one in-person meeting with the mentee each month. Mentors must have a car in case the mentee needs a ride to mentorship meetings. Mentors must be a well established community member, meaning that you are comfortable and familiar with navigating community services in NWA. Undergraduate students are not eligible to apply. Graduate students may apply. Please email Jessica at if you have any questions. To be considered please apply by April 29th at 5PM.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Do you speak any other languages in addition to English? If so please list them below.
Your answer
Do you have a Car? *
Have you completed Canopy NWA's drivers training? (Canopy NWA's drivers training entails a Canopy staff member inspecting your car and getting a copy of your license, insurance and your license plate number.) *
What city do you live in? *
Your answer
What is your current occupation? *
Your answer
Please check any of the following areas that you have experience in or would feel comfortable mentoring in *
Please tell us anything about yourself that will help us in pairing you with a mentee. (skills, hobbies, degrees or certificates you hold, past careers or job experiences) *
Your answer
If chosen for the mentorship program do you agree to meet the minimum requirement of one in-person meeting with your mentee each month for the three month program duration?
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