Mentor ApplicationYour goals. Our support. Real progressChanging lives one mentee at a time Name * First Name Last Name Date of Birth * Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Educational Background (Degree(s) & Institution(s) ) * Professional Background * Current Occupation/Role * Years of Experience in Current Role * Have you ever mentored someone before? * Yes No Mentorship Experience * What age group(s) are you most comfortable mentoring * Child (4 to 12 years) Teenager (13 to 19 years) Young People (16 to 24 years) Availability * Sunday Monday Tuesday Wednesday Thursday Friday Saturday Preferred Communication Method * Phone Email Virtual Meeting In-Person Meeting How many hours per week can you dedicate to mentorship? * Why do you want to be a mentor with Girl Get Up Inc? * What impact do you hope to make as a mentor? * Is there anything else you’d like us to know about you? * Reference 1 * First Name Last Name Relationship * Phone * Country (###) ### #### Reference 2 * First Name Last Name Relationship * Phone * Country (###) ### #### Background Check Authorization * As part of our commitment to providing a safe environment for the community we serve, Girl Get Up Inc. require a background check for all volunteer roles. By signing below, you consent to a self paid background check as part of your volunteer application process. I consent to a background check. I do not consent to a background check. Agreement & Signature * By clicking I Agree, I agree to adhere to the guidelines and policies of Girl Get Up Inc. while volunteering. I understand that I will be representing the organization and agree to conduct myself in a professional and respectful manner at all times. I also understand that volunteering with Girl Get Up Inc. is a voluntary activity and that I will not receive compensation for my time or services. I further agree that by clicking I Agree this will be used as my electronic signature. I Agree Thank you!
