* 1. What is your name?

* 2. What is your phone number?

* 3. Email:

* 4. How did you hear about Son of a Saint?

* 5. Are you willing to commit to mentoring for at least one year?

* 6. How many hours a month can you realistically commit?

* 7. Which neighborhood do you plan on living while mentoring?

* 8. Other obligations? (employment, family, religious, etc.)

* 9. Do you have previous mentoring experience?

* 10. What days are you available to mentor? Minimum hour and maximum 3 hours during weekdays. Weekends vary.

* 11. Are you comfortable with a LGBTQ (lesbian, gay, bisexual, transgender, questioning) mentee?

* 12. What is your occupation?

* 13. Why do you want to become a mentor?

* 14. My favorite subject in school was?

* 15. My least favorite subject in school was?

* 16. Specific mentee issues I am comfortable with:

* 17. Have you yourself experienced (optional):

* 18. My Hobbies/Interests include:

* 19. What is the best way to communicate with you? 

* 20. To your knowledge do you currently know a mentee in our program?

* 21. What are some things that you are concerned about as it relates to mentoring?

* 22. Do you have any other comments, questions, or concerns?

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