Mentor Application

Mentor Application

Thank You for your interest in volunteering as a BCYMP Mentor.

About You

Gender *
Local Address *
Local Address
City
State/Province
Zip/Postal
Home Address (If you are an SDSU student, please put your home address, too.)
Home Address (If you are an SDSU student, please put your home address, too.)
City
State/Province
Zip/Postal

Phone Numbers

Can we text you?

Education

Enter location and years completed.
Are you an SDSU student? *

Background

Do you have a valid drivers license? *
Has an employer or other organization run a Background Check on you in the last six months?
Have you ever been convicted or arrested for a Felony Offense? If yes, explain. *
Have you ever been investigated in connection with a child abuse. molestation or neglect matter? If yes, explain. *

Mentoring Questions

Please select which type(s) of mentoring you're interested in. (May select more than one option.) *
Can you meet as often as our program requires? (4 hours/month for at least one year for 1:1 mentoring; if you're gone for the summer, BCYMP can accommodate your schedule.) BCYMP Mentors matched with small groups/on-site Mentees need to volunteer at least 1 semester or summertime. *
Do you have any previous experience volunteering or working with youth? If yes, please list. *
19. What grade(s) do you prefer to mentor? (Check all that apply.) *
Do you prefer that your mentee be a particular gender? *
Are you willing to support a Mentee that has unique social, learning, and/or physical needs? *
BCYMP serves all of Brookings County, it is often hard to find Mentors in the smaller communities. Please select which cities you are willing to have your Mentee from (select all that apply):
Can you speak other languages? *

Reference 1 (not family)

References: Please list the name, phone number, email, and connection for two personal references (not family) that you have known for at least one year

Reference 2 (not family)

References: Please list the name, phone number, email, and connection for two personal references (not family) that you have known for at least one year
Did someone recommend you to the program?

What else?

Prior to being matched with a Mentee, BCYMP will need to run a background check, motor vehicle report, and ensure all BCYMP trainings are completed. Each mentoring pair costs BCYMP approximately $1000 each year. Will you consider a donation to offset your Mentor onboarding costs?
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