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Mentor Interest Form

Thank you so much for your interest in becoming a mentor for the Seeds of Hope Felician Youth Leadership Conference. Please answer all of the following questions as completely as possible. This survey will be used to help us match you with a mentee.


First Name
Last Name

Availability

What are the most convenient times for you to meet with your mentee? Please check all that apply.
Please describe any other time restraints you may have:
How many mentees would you be comfortable working with at one time?
Do you speak any other language in addition to English?
If yes, which language(s):
What is your current field of employment?
Please check all activities in which you have an interest:
List any other areas of strong interest:
What are some of your favorite subjects to read about?
What is one goal you have set for the future?
If you could learn something new, what would it be?
Which of the following do you believe is true about your personality? Please check all that apply:
Is there anything else that you would like us to know about you, your interests, and/or your personality that might help us match you with a mentee?

Biographical Information

Please provide a short bio (about 50 words) and a photo of yourself for use in promotional and informational materials.

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