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Mentor Application Form
Thank you for your interest in becoming a Y.E.S. mentor!
We will be calling you to discuss the next steps.
Please call 906-399-7899 with any questions.
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Maiden Name or Any Previous Names
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Your answer
Date of Birth
*
Your answer
Gender
*
Your answer
Ethnicity (Required for background check)
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White
Black
Asian
American Indian or Alaskan Native
Other:
Cell Phone Number
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Your answer
Mailing Address
Your answer
Occupation
*
Your answer
We understand there are occasions that will require mentors to be absent, however, our goal is consistency throughout the school year.
Will you be able to commit to meeting weekly for the school year?
In the event of your absence, we kindly ask for notice.
*
Your answer
Have you ever been accused, arrested, charged, or convicted of a crime?
*
Yes
No
Other:
If answered yes, please explain and note when.
*
Your answer
We want to get to know our volunteers as they are a critical part of our success! Please explain why you would like to be a part of Youth Empowering Services.
In addition, what is your background, if any, working with youth?
*
Your answer
If you are coming during work hours, does your employer continue to pay?
*
Yes
No
Does not apply
Is there a specific school you feel would work best for you? You can pick one or multiple schools.
*
Jones Elementary (Mon 8:10-9:00AM)
Cameron Elementary (Mon 9:30-10:20AM)
Gladstone Middle School (Mon 12:45-1:15PM)
Bay Pines Center (Mon 11:00AM-12:00PM)
Lemmer Elementary (Tues AM)
Escanaba Student Success Center (Wed 9:00-9:45AM)
Escanaba Upper Elementary (Wed 7:40-8:10AM)
Escanaba Junior High (Wed 10:40-11:10AM)
Escanaba Senior High (Wed 11:45-12:15PM)
Webster Elementary (Wed 12:25-12:50PM)
Bark River Harris (TBD)
Required
The best communication we use for Y.E.S. is the Band app. Are you able to download it to your phone?
For upcoming events, please also follow us on Facebook!
*
Yes
No
Required
How did you hear about Y.E.S.?
*
Your answer
Have you ever been in a substance abuse treatment program? If so, please explain and describe when?
*
Your answer
Send me a copy of my responses.
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