2019 Fall Mentor Application Question Title * 1. Name First Middle Last OK Question Title * 2. Contact Information Firm phone Mobile phone E-mail Address OK Question Title * 3. Firm Name OK Question Title * 4. Firm Address Street City State Zip OK Question Title * 5. Indicate your grade preference (check all that apply) Freshman Sophomore Junior Senior Grad OK Question Title * 6. What do you feel are the strengths (bilingual, math skills, previous relevant volunteer experience, etc.) you can bring to this program? OK Question Title * 7. What are your hobbies? OK Question Title * 8. Write a brief statement on why you have chosen to participate in the mentorship program. OK Question Title * 9. What qualities would you like in a mentee? OK Question Title * 10. What individual has served as a role model for you? Why? OK Question Title * 11. If you could recommend one book for your mentee to read, what would it be? OK Question Title * 12. What days of the week are you available to participate? (check all that apply) Monday Tuesday Wednesday Thursday Friday Saturday Sunday OK Question Title * 13. What is the best time for you to volunteer? (check all that apply) Mornings Afternoons Evenings Weekends OK Question Title * 14. I certify to the best of my ability that the information provided on this application is true and accurate. I also understand that misinformation knowingly provided here, and on subsequent mentor application forms, is grounds for dismissal. Name Date OK THANK YOU FOR PARTICIPATING IN THE NEW MEXICO SOCIETY OF CPAS MENTORSHIP PROGRAM!