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HSM Side-by-Side (Mentor Program) Form - Adult
The goal of this form is to find out more about you so we can match you with a high school student in a mentoring relationship that will be mutually beneficial. We encourage you to be honest and open as you answer these questions, no answers will automatically disqualify you from becoming a mentor. After submitting the form, we will follow up with you to set up a meeting where we can discuss the mentor program in greater detail. Thank you for your willingness to serve!
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First Name
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Last Name
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Email Address
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Phone Number
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Date of Birth:
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Gender:
Male
Female
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Marital Status:
Single
Married
Divorced
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Occupation:
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Email:
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What is your involvement with Blackhawk and/or High School Ministries?:
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What are you passionate about in life right now?:
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How do you best connect with God?:
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How would friends/family describe you? (adventurous, intellectual, easy-going, outgoing, serious, quiet, lighthearted, etc.):
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Do you have previous experience volunteering, mentoring, or working with youth? Please describe.:
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What life experience do you have that could be helpful in mentoring a student?:
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What qualities, skills, or strengths do you feel you have that would benefit a student?:
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Do you feel comfortable relating to high school students? If not, what are your concerns?:
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Why are you interested in becoming a mentor?:
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What type of student are you willing to mentor? (not actively seeking God, open but cautious, actively seeking):
Are there particular students you are interested in mentoring? If so, list their names.:
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Do you have any additional comments or concerns?:
Submit Form