Community Bridges Mentor Program Application
Community Bridges envisions a blended community where each person is valued and has the opportunity and inspiration to take action to improve themselves and the world around them. We contribute to our vision of community by advancing positive outcomes for girls, families and communities in the following areas: Strong Schools & School Success, Civic Engagement, Strong Families, Healthy Life & Personal Environment, and Strong Role Models/Mentors for Girls/Women. Our CB Women’s Mentor Initiative recruits women from diverse work, economic, and educational backgrounds to mentor our high school girls toward achieving their goals, both academically and long term. We provide social and emotional development and assist high school girls in graduating high school with a plan for college and/or career. Our Mentor program also allows our CB girls to develop/build healthy positive adult relationships and gives them the opportunity to network with people of different demographics.

IF THIS SOUNDS LIKE SOMETHING THAT INTERESTS YOU, PLEASE PROCEED TO COMPLETING THE APPLICATION.

CB Mentors and Mentees Go Ice Skating!
Name *
Your answer
Mailing Address *
(Street, City, State, Zip Code)
Your answer
Business Address *
(Street, City, State, Zip Code)
Your answer
Email Address *
(most often-checked)
Your answer
Phone Number *
Best Contact Number for Interview
Your answer
Occupation *
Your answer
Employer *
Your answer
Highest Level of Education Completed *
Organizations/Affiliations *
Your answer
Volunteer History
Do you currently volunteer for any organizations, or boards, etc?
Your answer
Do you speak any other language(s)?
Your answer
Do you have any food allergies?
If yes, please explain.
Your answer
Do you require any accommodations?
If yes, please explain.
Your answer
Research has shown that quality mentoring programs have positive outcomes on youth development. Programs without proper infrastructure and accountability systems in place have proven to be most detrimental to the children being served. With this in mind, please review and acknowledge the following statements regarding your commitment level for this initiative.
Do you have any experience working with children of a different racial/ethnic, socioeconomic, religious or other background other than your own? *
Required
Please Explain
Your answer
What does being a mentor mean to you? *
(definition, experience, etc)
Your answer
Please explain why you would like to work with the Community Bridges Girls? *
Your answer
Please provide 2 references Name, Contact Information, & Relationship *
Your answer
Photo Release *
I understand that by checking below I hereby authorize or do not authorize Community Bridges to use my name, likeness, and speech in any audio and/or video, film, photograph, or electronic transmission or display for any recruitment or other legitimate public relations and communications efforts made on behalf of Community Bridges, Incorporated.
Required
Next Steps
Upon receipt of your application, someone from the Community Bridges team will follow-up and schedule a formal phone interview with you to further discuss your interests and next steps. Thank you again, our girls need your support!

IF YOU KNOW ANY WOMEN NOT ON OUR LIST SERVE BUT INTERESTED IN MENTORING, PLEASE FORWARD OUR INVITATION TO THEM TO COMPLETE THIS FORM.

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