2021 - 2022 ROC Star 2.0 MENTOR Application
On behalf of the staff at Starfish Alliance Inc., we thank you for your interest in becoming a Mentor/Coach for our Roc Star 2.0 Program! Please answer all questions on the application below thoroughly. A complete application will allow us to respond promptly to your request to volunteer. In addition, please be sure to provide information of three individuals you feel can best serve as references. When you have completed the application, the Program Coordinator will be in contact with you regarding its status.
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Please provide contact information:
Name *
Company of Employment *
Address/City/State/ZIP *
Email Address *
Phone Number *
What is your race or ethnicity? *
How would you describe your gender? *
If you prefer to self describe as non-binary, gender-fluid, agender, etc. please specify in the section labelled as "other."
Do you have availability to regularly attend scheduled sessions once a month on a weekday between 5pm and 8pm? *
The duration of a session would last between an hour or an hour and a half
Educational Background (mark all that apply) *
必填
Please select your professional background field(s): *
If your professional background is not listed below, please specify in section labelled "other."
必填
How many years of experience do you have related to mentoring and/or working with High School Students? *
Please select up to 3 of your favorite hobbies/activities *
必填
Please share why you want to participate in Roc Star 2.0 as a mentor/coach. *
In your opinion, what is the importance of mentorship? *
I understand that all information on this application will be kept confidential. I do however, consent to the release of my name, email, phone number, and hobbies to my prospective Team of Roc Star 2.0 mentee's for mentor-matching purposes only. *
If selected, I understand the expectations of the application process outlined below: *
1. Please list reference (please include at least one family member, one personal friend and one work reference): *
Please List the following: Name, Relationship, Email address, Phone Number
2. Please list reference (please include at least one family member, one personal friend and one work reference): *
Please List the following: Name, Relationship, Email address, Phone Number
3. Please list reference (please include at least one family member, one personal friend and one work reference): *
Please List the following: Name, Relationship, Email address, Phone Number
Any additional comments, questions, or concerns prior to training:
On behalf of the staff at Starfish Alliance Inc., we thank you again for your interest in our mentoring program. If you have any questions, please feel free to contact us at info@starfishalliance.org !
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