First name:
Last name:
Email address:
What is your current occupation? If retired, please share your occupation.
Why are you interested in being a mentor?
What previous experience do you have with children?
What hobbies could you share with a mentee?
Do you have any expectations of the students?
What type of student might be difficult for you to work with?
Who or what was helpful to you during adolescence?
How do you expect to deal with any differences in ethnicity, religion, or values?
Do you have any doubts or concerns about being a mentor?
Do you feel as though you have enough time (one hour a week) to make a commitment to the student and the program?
What topic would you consider inappropriate to discuss with your mentee?
What would you do if they used offensive language?
If you needed to terminate your weekly meetings with your mentee, how would you do so?
