Mentor Application

Thank you for your interest in becoming a mentor with Catholic Guardian Services’ A Guiding Hand program.

Our program is simple: by meeting just twice a month with your Little on your own schedules in the community, as a volunteer, you are able to make a positive, often life-long impact on a child in need. We will match volunteers over the age of 21 with children between the ages of 10-12 from all Bronx communities.

Please complete the application below.

Notice:
A volunteer will automatically be disqualified if their criminal history reveals a conviction at any time for any of the following:

- Any felony of any kind (defined as a crime punishable by 1 year or more in jail, even if the individual was sentenced to a lesser time)
- Any lesser crime (i.e. misdemeanor or citation) involving: sex, force or threat of force against a person, or cruelty or abuse to animals
- Any lesser crime (i.e. misdemeanor or citation) involving controlled substances within the past year
- Any arrest for a crime against a minor

Question Title

* Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* Date of Birth

Date / Time

Date

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* Gender

Female

Male

Other (please specify)

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* Which of the following subway lines are close to your residence?

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* Race

African American/Black

Asian/Pacific Islander

Latino/Hispanic

Multi-Racial

White

Other (please specify)

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* Language Skills

Please identify which language(s) you are comfortable speaking.

Cantonese

English

Mandarin

Korean

Spanish

French

Other (please specify)

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* Religious Background

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* Are you a military veteran?

Yes

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* Your Highest Level Of Education

High School

Some College

Associates Degree

Bachelors Degree

Masters Degree

Other (please specify)

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* Your Employment Industry

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* What is your current occupation?

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* What is the name of the company you work for?

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* How did you hear about Catholic Guardian Services?

Search Engine

News Article

A friend

Other (please specify)

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* Have your previously applied to be a CGS Volunteer?

Yes

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* Specifically, what is your motivation in becoming a mentor to a young child?

As part of your application process, Catholic Guardian Services will reach out to 3 references. A reference should be provided meeting the following criteria (Professional, Friend, Family Member). References will have the opportunity to submit their responses via email or phone. Please provide their name, telephone number and email address below.

Question Title

* Professional Reference

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* Friend Reference

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* Family Reference

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

We will use any personal information that you provide strictly in accordance with the terms of our Privacy Policy.