Become a Mentor: Initial Application
Thank you so much for your interest in becoming a mentor with Circle Program! Below is the initial application used to start your process in volunteering with our organization. Once completed, we will review your application and reach out to discuss if we are moving forward with the application process. Please answer these questions as honestly and truthfully as possible. Please reach out to info@circleprogram.org if you have any questions.
Name: *
Email: *
Phone number: *
Address: *
How did you hear about Circle Program? *
Required
Why are you interested in becoming a mentor with Circle Program? *
Tell me about a mentor you have had/have. What were/are they like? *
What are your interests? What do you do to take care of yourself? *
What form(s) of mentorship are you interested in? *
1st Choice
2nd Choice
3rd Choice
Not Interest
Mentorship Form
e-Mentoring
In-person Group Mentoring
Virtual Group Mentoring
How comfortable do you feel supporting someone who is in the LGBTQ+ community? *
Not at all confident
Extremely confident
How comfortable do you feel supporting someone who may have different experiences than yourself? *
Not at all confident
Extremely confident
How comfortable do you feel supporting someone who may experience mental health needs? *
Not at all confident
Extremely confident
How comfortable would you feel reporting an incident to DCYF, if the situation arose? *
Not at all confident
Extremely confident
Situation: You notice your mentee acting quiet and distant. When trying to ask how they are doing, they give one word answers and seem frustrated. What would you do? (Don't worry about getting this 100% correct! Circle Program will go over this!) *
Situation: Your mentee told you that they didn't have dinner yesterday because there was no food in the house. How would you respond? What would be your next steps? (Don't worry about getting this 100% correct! Circle Program will go over this!) *
What are some examples of situations that should be mandated reported? *
Reference #1 : (include name, email, and phone number) *
Reference #2 : (include name, email, and phone number) *
Reference #3 : (include name, email, and phone number) *
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