Beruflich Dokumente
Kultur Dokumente
Personal Information:
_________________________________________________________________________LEBANON__
Street Area of Town/City Town/City Region Country
How many more years do you need before you graduate? ______________________________________
Volunteer Information:
In what area would you like to mentor a youth? Check all that apply:
Art
Music
Dance
Film
Photography
Writing
Athletics
Drama/Theatre
Other: _______________________________________________________________________
Please elaborate on the above. What specific skills can you teach a mentee? (i.e. singing, drawing,
football, etc)
Tell us a little more about how you acquired these skills (where did you learn them) and how long youve
been practicing them.
Have you been a trainer, coach, tutor, or instructor before? In what capacity?
______________________________________________________________________________
______________________________________________________________________________
What personal skills or strengths do you have that can make you a good mentor?
_____________________________________________________________________________________
_____________________________________________________________________________________
What individual has served as a role model for you? Why? _____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What days of the week are you available to volunteer? (check all that apply):
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What is the best time for you to volunteer? (check all that apply):
Mornings Afternoons Evenings Weekends
_____ I understand that the mentor program involves spending a minimum of one hour every week with
an assigned mentee for at least 6 months.
_____ I understand that I will be required to attend the training session and the orientation session before
becoming a mentor.
Within the past 10 years, have you been convicted of any felony or misdemeanor classified as an offense
against a person or family, or an offense of public indecency or a violation involving a controlled
substance (i.e. drugs)? YES NO
Are you under current indictment or has an attorney accepted an official complaint for any of the offenses
in question #5? YES NO
Additional comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
Please list four references (please include at least one family member, one personal friend and one work
reference/teacher):
In making this application to be a volunteer, I understand that the The VAST LINKERS has the right to
perform background checks on volunteers interested in becoming mentors. This check may be done on
me if I sign below. If I fail to sign, it may be grounds for rejecting me as a mentor.
I certify to the best of my ability that the information provided on this application is true and accurate. I
also understand that misinformation knowingly provided here, and on subsequent mentor application
forms, is grounds for dismissal.
______________________________________ _________________________________
Signature Date
Thank you for your interest in becoming a mentee with The Vast Linkers Pvt.Ltd.