Mentor Interest Form - EnvironMentors 2021-22
This form is for folks who are interested in serving as a Mentor for the EnvironMentors programs occurring at PPS Westinghouse Academy 6-12 and Environmental Charter High School from December through the end of the school year in June. Mentors will earn a $750 stipend for each school site where they serve as a mentor this year. For more information on EnvironMentors at the Chatham University Chapter, please visit: https://www.chatham.edu/edenhall/k12/EnvironMentors.cfm 

Mentors are not required to attend every single week of the program, and will begin coming regularly into their program site in January (Westinghouse) or February (ECHS). During mentor onboarding, we will have a specific schedule for mentors that will involve attending the program approximately every two weeks (for programs that meet once a week for 1-5-2 hours) or once a week (for programs that meet twice weekly for 45 minutes each day).

Please tell us more information about yourself. We will get back to you with more information. This form is not a commitment.
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First Name
Last Name
Email Address
Cell Phone Number
Title (Chatham students please list year and major)
Organization
Site(s) Where You'd Like to Mentor
Race Identity (optional - this will help us pair mentors and students that have similar race identities, if possible)
Gender Identity (optional - this will help us pair mentors and students that have similar gender identities, if possible)
Any other identities you'd like to share with us that may help your student pairing to be as effective as possible?
Do you live and/or work in the Homewood, Garfield, East Liberty, or Larimer communities? If so, please explain to the degree you are comfortable. We would love to pair students with mentors from their neighborhoods.
Do you have any social or environmental research projects you are currently working on that student can plug into? If so, please describe those projects in a few sentences. This is not a requirement for the position, just a bonus.
Any questions you would like answered about this program or mentor position before you commit?
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