SON OF A SAINT MENTOR APPLICATION 2019 Question Title * 1. What is your name? Question Title * 2. What is your phone number? Question Title * 3. Email: Question Title * 4. How did you hear about Son of a Saint? Question Title * 5. What is your occupation? Question Title * 6. Do you have previous mentoring experience? Question Title * 7. If yes, what? Question Title * 8. How many hours a month can you realistically commit? Weekend events can last between 3-4 hours. Question Title * 9. Other obligations? (employment, family, volunteering, religious, etc.) Question Title * 10. What days are you available to mentor? Monday 5:00-8:00pm Tuesday 5:00-8:00pm Wednesday 5:00-8:00pm Thursday 5:00-8:00pm Friday 5:00-8:00pm Saturday 8:00-12:00 Saturday 12:00-4:00 All Saturday Sunday 8:00-12:00 Sunday 12:00-4:00 Available Weekdays Available Weekends Only Available Weekdays Only Available Weekends Question Title * 11. Are you willing to commit to mentoring for at least one year? Question Title * 12. Which neighborhood do you plan on living while mentoring? Question Title * 13. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 70119 ) Question Title * 14. Why do you want to become a mentor? Question Title * 15. What is the best way to communicate with you? Text Call Email Question Title * 16. What do you consider your strengths as a person? (i.e determination, joy, resourcefulness, perseverance, adaptability, etc.) Question Title * 17. Did you grow up with a father in your home? Question Title * 18. Did you have a mentor growing up? If yes, who was it? And how did it support you? Question Title * 19. My Hobbies/Interests include: Playing sports Watching sports Listening to music Playing music Dancing Cooking Writing Videography Engineering Theatre/Acting Computers Cars Art/design Movies Reading Media Arts Photography Mechanics Other Hobbies: Question Title * 20. What is the highest level of school you have completed or the highest degree you have received? Less than high school degree High school degree or equivalent (e.g., GED) Some college but no degree Associate degree Bachelor degree Graduate degree Question Title * 21. (Optional) Have you overcome any of the following: ADHD Family conflicts Low income home Death/Loss of a loved one Behavioral problems Gang/criminal activity Homelessness Low academic performance Foster Care Question Title * 22. (Optional) Would you like to share how you overcame one or more of these challenges? If you are comfortable sharing, this may be helpful in assisting mentees in overcoming these same types of obstacles. We will always ask your permission before sharing any information provided. Question Title * 23. Are you comfortable with a LGBTQ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning) mentee? Question Title * 24. Specific mentee issues I am comfortable with: Physical/mental/sexual abuse ADHD Family conflicts Low income home Death/Loss of a loved one Gang/criminal activity Foster Care Emotional Problems Drug/Alcohol Abuse Homelessness Low Academic performance Behavioral problems Sexual active Question Title * 25. To your knowledge do you currently know a mentee in our program? Yes No If you selected yes, please name: Question Title * 26. What are some things that you are concerned about as it relates to mentoring? Question Title * 27. Do you have any other comments, questions, or concerns? Question Title * 28. Please list two professional references: contact name, phone number, email, and job title. Reference 1: Reference 2: Question Title * 29. Please list all public social media handles, i.e: Twitter: FB: Sonofasaintorg, @sonofasaintorg, etc. Facebook Twitter Instagram: Other: Next