Mentor Application
Full Name *
Your answer
Last Name *
Your answer
Gender *
Required
Mailing Address , City, State, Zipcode *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Contact Preference *
Employer *
Your answer
Job Title *
Your answer
Highest Level of Educational Attainment *
Required
Preference of day (select all that apply) *
Required
Campus Selection #1 *
Your answer
Please choose from the following campuses below.
Campus Selection #2 *
Your answer
Mentor Pledge
I understand the need to maintain confidentiality regarding information that I might gain about students, families, and staff as I volunteer in the schools. I also understand that I am not to discuss individual student progress or behavior with anyone other than school personnel. I understand that if I violate school confidentiality rules, I may be asked to terminate my volunteer service. *
Required
If I am selected to be a mentor I understand that my commitment involves spending a regularly scheduled time weekly at the assigned school with my mentee throughout one school year. As part of my participation in this program, I will communicate with the ATM program manager on a regular basis. *
Required
Pursuant to Section 22.0835 of the Texas Education Code, I understand Houston ISD is required to conduct a criminal history review and reserves the right to receive and review any records maintained by any law enforcement agency. *
Required
I hereby declare that all statements in this profile application are true and accurate. *
Required
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