JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2020-2021 B'Fly Girls, Inc. (BFG) Mentor Application
Thank you for your interest to become a BFG mentor. Please complete the application and we will be in touch as soon as we receive your submission.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please select mentoring location.
*
Baton Rouge, La
Atlanta, Ga
Required
Full Name
*
Your answer
Address (include City, State and Zip Code)
*
Your answer
Contact Telephone Number
*
Your answer
Email Address
*
Your answer
Birth Date (XX/XX/XXXX)
*
Your answer
Ethnicity
*
African-American
Hispanic
Caucasian
Other
Required
Employer
*
Your answer
Please provide your highest level of education completed:
*
High School
College
Graduate School
Please list your hobbies.
*
Your answer
Please list any civic, community or professional organizations.
*
Your answer
Did you have a mentor (formal/informal) as a child?
*
Yes
No
What woman had the biggest influence on your life?
*
Your answer
Have you been a mentor previously? If yes, please answer the next question. If not, please skip the next question.
*
Yes
No
Required
Please list the organization where you mentored and the dates of your service.
Your answer
How did you hear about BFG?
*
Information Session
Website
BFG Mentor
BFG Board Member
BFG Volunteer
Other:
I have always had an idea of sharing what I have and the most important thing I believe I can share is knowledge that I have. To be able to give back to the community.
*
Your answer
It allows me to have the opportunity to journey with someone to help them succeed in the pursuit of their goals.
*
Your answer
be successful and take advantage of the opportunities and resources that are available for them
*
Your answer
Please help us achieve the best possible match by specifying the grade level you prefer to mentor.
*
Grade 3-5
Grade 6-8
Grade 9-12
I am flexible
Required
Please indicate your availability to mentor girls.
*
Weekly
Bi-weekly (twice per month)
Required
What was your favorite subject in school (middle or high school)?
*
Your answer
Please explain your answer to the previous question.
*
Your answer
Please provide three references (include name, contact telephone number and email for each).
*
Your answer
Please check each statement below to confirm your understanding of the BFG mentor commitment.
*
I understand that BFG mentoring requires spending a minimum of 60 - 90 minutes 2 - 3 times per month during the academic day at a school with an assigned group of mentees.
I understand that mentoring will require occasional weekend service projects and field trips.
I understand that I will be required to complete a criminal background check before I can start mentoring
Required
Within the past 10 years, have you been convicted of a felony or misdemeanor classified as an offense against a person or family, or an offense of public indecency or violation involving a state/federally controlled substance.
*
Yes
No
Are you under current indictment or has a district/county attorney accepted an official complaint for any offense(s) on your behalf?
*
Yes
No
Please type your name here to serve as your application signature.
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Weebly Email Service.
Report Abuse
Forms
