Mentor Sign Up Form
Thank you for your interest in becoming a mentor with our organization. Step One in the process is your completion of the following. Within 48 hours, someone will contact you for the next step your application process. Please note, that as with all organizations working with kids, there is required paperwork that must be submitted and a background clearance (cost is $15) by all new volunteers prior to working with the girls in the Essie's Girls Inc. Mentoring Program. Unfortunately, Essie's Girls Inc. does not accept copies of other background checks.
Name *
Your answer
Address *
Your answer
Home Phone *
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Work Phone
Your answer
Date of Birth
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YYYY
Why do you want to become a mentor?
Your answer
Do you have any previous experience volunteering or working with youth? If so, please specify.
Your answer
What qualities, skills, or other attributes do you feel you have that would benefit a youth? Please explain.
Your answer
Can you commit to participate in Essie’s Girls, Inc. mentoring program for a minimum of one year from the time you are matched with a youth?
Your answer
Are you available to meet with a mentee eight hours per month, and have contact at least once per week? Please explain any particular scheduling issues
Your answer
Are you willing to communicate regularly and openly with program staff, provide monthly information regarding your mentoring activities, and receive feedback regarding any difficulties during your participation in the mentoring program?
Your answer
Are you willing to attend an initial mentor training session and two in-service training sessions per year after being matched?
Your answer
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