BCYMP New Mentor Application

Thank You  for your interest in volunteering as a BCYMP Mentor. After you complete this form, the BCYMP Mentoring Coordinator will email you the training steps you'll need to take before being matched.  We will also ask you to complete a form that gives BCYMP permission to run a background check. Finally, after you complete your training, we'll ask you to attend a brief interview to answer any questions you may have and to allow BCYMP to tell you more about the specific needs in our community. These steps help us make the best possible Mentoring Match.

Also, we ALWAYS need more Mentors, so please share this opportunity and application with any caring, responsible adult you know who'd be willing to spend one hour a week with student(s) in need of guidance and support. 

To the world you may just be one person,
but to one person, you may be the world.
#BCYMPBeOne

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* 1. Name:

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* 2. Your Birthdate (MM/DD/YYYY)

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* 3. Gender:

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* 4. Ethnicity: 

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* 5. Local Address:

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* 6. Home Address (If you are an SDSU student, please put your home address, too.)

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* 7. Email Address

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* 8. Phone Number

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* 9. May BCYMP text you?

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* 10. Current Employment: (if applicable)

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* 11. Education

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* 12. Criminal Background

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* 13. How did you hear about BCYMP?

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* 14. Why do you want to be a BCYMP Mentor?

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* 15. Please select which type(s) of mentoring you're interested in. (May select more than one option.)

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* 16. Can you meet as often as our program requires? (1 hr/wk for at least one year for 1:1 mentoring; if you're gone for the summer, BCYMP can accommodate your schedule.) BCYMP Mentors matched with small groups need to volunteer at least 1 semester or summertime.

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* 17. Do you have any previous experience volunteering or working with youth? If yes, please list.

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* 18. Please list any of your hobbies/interests that would help us to better match you with a BCYMP Mentee:

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* 19. What grade(s) do you prefer to mentor? (Check all that apply.)

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* 20. Do you prefer that your Mentee be a particular gender?

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* 21. Are you willing to support a Mentee that has unique social, learning, and/or physical needs?

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* 22. If you responded yes to the last question, please describe any personal or educational experiences you have with people who have unique needs, and/or describe the kinds of individual needs you are comfortable supporting.

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* 23. Can you speak any other languages? If yes, please list.

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* 24. Has an employer or other organization run a Background Check on you in the last six months?

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* 25. Do you have a valid driver's license?

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* 26. References: Please list the name, phone number, email, and connection for two personal references (not family) that you have known for at least one year

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* 27. Is there anything else you'd like to share about yourself and/or the kind of student you'd like to mentor?

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* 28. As part of the screening process, BCYMP will run a criminal background check before matching you with a K-12 grade student. Are you able to help BCYMP serve more kids by making a donation  towards the expense of running your background check?

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* 29. Did someone recommend you to apply to our program? 

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* 30. If so, please provide their first and last name.

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