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Goal Grinders, Inc. Mentor Application
Please complete this form in its entirety.
**All mentors are required to submit to a background check prior to working with any student affiliated with Goal Grinders, Inc.
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First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Phone Number
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Your answer
Date of Birth
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MM
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DD
/
YYYY
Street Address
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Your answer
Street Address Line 2
Your answer
City
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Your answer
State/Province
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Your answer
Postal/Zip Code
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Your answer
High Level of Education Completed
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High School
College/University
Graduate School
Professional School
Doctorate
Military
Trade School
Please share briefly why you want to be a mentor with Goal Grinders, Inc.
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Your answer
Please share your hobbies/interests so that we can match you with the right mentee.
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Your answer
Place of employment
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Your answer
Employer's Phone Number
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Your answer
Please include potential mentor/mentee activities that you would like to engage in with Goal Grinders, Inc.
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Your answer
Do you agree to complete a background check?
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Yes
No
How often would you like to meet with your mentee?
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Once a month
Twice a month
What age group would you like to mentor?
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Middle School
High School
Date Signed by Applicant
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MM
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DD
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YYYY
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