Afghan Youth Mentorship Program Application and Matching Survey

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Thank you for your interest in the Afghan Youth Mentorship Program. This program is for Afghan youth in Toronto between the ages of 15-21 years old. Your information will be kept confidential and will help us match you with a mentor that suits your interests and goals.

This program is FREE. Participants will receive a booklet and $200 for completing the program. You will also get $20 each month for food for your monthly meetings with your mentor.

Full Name *

Age *

Email *

Phone Number *

What gender do you identify with? *

Male

Female

Other:

Postal code *

This information is required to give us an understanding of the geographic distribution of our participants.

What school do you attend? If you're not in school, put n/a. *

Where were you born? *

Canada

Afghanistan

Other:

If you were NOT born in Canada, how old were you when you came to Canada?

Citizenship status *

Canadian citizen

Permanent resident

Newcomer immigrant

Newcomer refugee

Other:

Which language(s) do you speak? Select all that apply. *

Dari/Farsi

Pashto

English

Other:

Required

What is your level of English proficiency? *

Beginner

Advanced

What is your level of Dari/Farsi proficiency? *

Beginner

Advanced

What is your level of Pashto proficiency? *

Beginner

Advanced

Employment *

Not working

Working part-time

Working full-time

If employed, what type of work do you do?

Have you ever been apart of a mentorship program? *

Yes

Why do you want to be a part of this mentorship program? *

What is your desired career field? If you don't know yet, that's okay, you can put "don't know" *

What are your expectations for this program? *

What skills do you hope to gain from this program? Select all that apply *

Unclear about career goals

Need help with resume/cover letter

Emotional support (motivation, encouragement)

Lack of self confidence and/or self esteem

Someone to talk to about my problems at school, home, and life

Build my mental health and resiliency

Education development (helping to make a study plan, etc)

Learn problem solving and conflict resolution

Learn how to build my personal and professional network

Other:

Required

Are you open to working with a male mentor? *

Yes

Are you open to working with a female mentor? *

Yes

My learning style is... (Select maximum 2) *

Visual/spatial learner: I like pictures, diagrams, written directions and more

Auditory learner: I prefer sound and music

Kinesthetic/physical learner: I like to learn through experiencing or doing things. I prefer using my body, hands and sense of touch

Reading/writing learner: I prefer to learn through written words such as writing essays, doing research online and reading books.

Required

I would describe myself as... *

Extrovert: I prefer to hang out and learn in groups or with other people.

Introvert: I prefer to work alone and use self-study

I can be both, depending on the situation

Please read the following description of the different types of personality. Which one best describes you? *

Agreeableness

Conscientiousness

Extraversion

Openness to Experience

Neuroticism

What are your hobbies? *

What are your top 3 favourite foods? *

What is your favourite TV show? *

What is your favourite subject in school? *

I live with: *

Parents

Single parent

Alone

Other:

Is there anything else you would like to disclose that may require additional accommodation or support? (ie. physical or mental disability, other cognitive impairments, etc.)

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