2018-19 B'Fly Girls, Inc. Mentor Application
Please complete this application to get started as a mentor with B'Fly Girls, Inc.
Email address *
Name: *
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Address: City, State and Zip Code *
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Phone: *
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Email Address: *
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Date of Birth: *
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Ethnic Background:
Marital Status:
Do you have children:
Highest level of education background *
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Employment Information *
Please enter your place of employment here: Please submit your resume via email at bflymentors@gmail.com
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As a child, did you have a mentor? *
Have you participated in a mentoring program before as a mentor?
What do you feel are the strengths (bilingual, math skills, previous relevant exp, etc.) you can bring to the program? *
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Write a brief statement on why you have chosen to become a mentor.
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Please list any other civic and volunteer activities in the past 5 years. Include any elected or appointed public office(s).
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Please check the statements below to indicate your understanding of the mentor commitment.
Within the past 10 years, have you been convicted of any felony or misdemeanor classified as an offense against a person or family, or an offense of public indecency or violation involving a state/federally controlled substance.
Are you under current indictment or has a district/county attorney accepted an official complaint for any offense(s) on your behalf?
How did you hear about B'Fly Girls, Inc.?
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Do you speak a foreign language? If so, please specify
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Please list any hobbies or interests you may have:
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What would you like to do with mentees?
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What clubs or groups, if any do you belong to?
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Your favorite subject in school was:
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Your least favorite subject in school was:
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Please check the activities that you enjoy most:
What qualities would you like to see in a mentee?
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If you could recommend a book for a mentee to read, what would it be?
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Please indicate your availability to mentor
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Please type your name as signature to indicate that to best of your ability the information provided on this application is true and accurate. You also understand that misinformation knowingly provided here, and on subsequent mentor application forms, is grounds for dismissal. *
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