Mentor Interest Form

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Our mentoring program matches students with adult mentors throughout the city of Milwaukee for their four years in high school. If you are interested in serving as a mentor for our high school students, please fill out the survey below.

Name *

Address *

City *

Zip Code *

Phone *

Email *

Employer or School *

Occupation or Major *

Are you interested in serving as a mentor in the NJA Mentoring Program? *

Yes- I would like to begin mentoring next year.

I cannot begin mentoring next year, but would like to be considered in the future.

I am still considering it- please reach out to me with more information

I would like to mentor a student from one of the following schools (select all that apply):

Marquette High School

Cristo Rey Jesuit High School

St. Thomas More High School

Dominican High School

Augustine Prep High School

Pius XI High School

Carmen Institute of Technology

No Preference

Please share any interests, hobbies, or skills that you think may be helpful for me to know as I match you with your student(s). Examples may be sports, art, theater, public speaking, video games, exercise and fitness, movies, cooking, being a "foodie," background in common high school extracurricular activities such as forensics or mock trial, or any other interests you think might be relevant.

Please briefly describe why you are interested in serving as a mentor and what strengths you will bring to the program as a mentor.

How many students would you like to mentor? (mentoring two students can be beneficial to both mentor and mentees, as it may help mentees open up during interactions. It can, however, be a bit more of a time commitment)

I prefer mentoring one student

I prefer mentoring one student, but am open to mentoring two if needed

I prefer mentoring two students

Clear selection

Do you speak Spanish? That is perfectly fine if you don't! Some of our parents are most comfortable speaking Spanish, so it can be helpful to know this while I am matching you with students.

Yes

Clear selection

I am able to attend a monthly meeting at Nativity from 5:45-7 pm (with dinner included). I am available to attend this meeting on the following days (select all that apply):

Monday

Tuesday

Wednesday

Thursday

Clear selection

You may share my basic contact information with other mentors once I am officially matched with a mentee. This can come in handy as mentors look to get together with other mentors and students on outings or as they help students leverage the connections within our mentoring network.

Yes

Clear selection

Our mentors are required to attend a live training course related to working with minors through the Archdiocese of Milwaukee. Have you attended this course before?

Yes

Unsure

Clear selection

How did you hear about Nativity's mentoring program?

Submit

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