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Brothers and Sisters Behind Bars Mentor Application
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Contact Information
First Name
*
Your answer
Last Name
*
Your answer
Email
Your answer
Address
Your answer
Primary Phone Number
*
Your answer
Secondary Phone Number
Your answer
Information & Availability
Please Select the days you are available to mentor
* You must be available for a 12 month commitment
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Have you previously served as a mentor?
Yes
No
Clear selection
Are you willing to submit to a background check?
Yes
No
Clear selection
How did you learn about the mentor program?
Your answer
Do you have any pending legal issues?
Yes
No
Clear selection
If yes, please explain
Your answer
What does being a mentor mean to you?
Your answer
What skills and experiences do you bring to the mentoring program that will be helpful to the mentees in the program and the other mentors?
Your answer
What are you hoping to take away from volunteering with the Brothers and Sisters Behind Bars mentoring program?
Your answer
Character References
Character Reference #1
First Name
Your answer
Last Name
Your answer
Address
Your answer
Email Address
Your answer
Phone Number
Your answer
Character Reference #2
First Name
Your answer
Last Name
Your answer
Address
Your answer
Email Address
Your answer
Phone Number
Your answer
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