JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WeClimb Mentor Application
This short application will help us determine your interest in becoming a WeClimb Mentor. PLEASE ANSWER THE QUESTIONS HONESTLY.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Full Name
*
Your answer
Phone #
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State (or Country if not US)
*
Examples: CA, NY, MA, DC, India
Your answer
Describe your personality type?
*
Social/Extrovert (prefer being around others)
Solitary/Introvert (prefer being by yourself)
Both (depending on the situation)
What do you normally do in your free time? (this will help us pair you with mentees)
*
Your answer
What do you hope to accomplish as a WeClimb Mentor?
*
Your answer
What previous experience have you had as a mentor/positive role model or working with youth?
*
Your answer
What grade level would you prefer your mentee to be?
*
3-5
6-8
9-12
No preference
Other:
Required
Realistically, how many hours are you willing to commit to mentoring a child each week?
*
2-3
4-5
6+
No preference
Other:
Required
Are you willing to complete a criminal background check?
*
Yes
No
How did you hear about WeClimb and our mentoring program?
*
Your answer
Do you have reliable transportation?
*
Yes
No
Do any pre-existing health conditions that could prevent you from engaging in strenuous physical activities (i.e., asthma, heart condition, vertigo, fractures, recent surgeries, etc.)?
*
Yes (please specify in the OTHER box below)
No
Other:
Required
Re-confirm Your Email Address
*
Your answer
If you have any additional questions, please indicate below. Thank you for your interest in becoming a WeClimb Mentor!
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms