The Rise and Reach Project
Referral
Donate Now
Menu
Home
About Us
Our Team
Research
Partners
Programs and Services
Get Involved
Get In Touch
Mentor
Community Youth Mentor Volunteer Application
Personal Information
Name:
First
Last
Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Phone Number
Email
Are you over the age of 18?
Yes
No
Education
Highest level of education
Field of study (if applicable):
Experience
Do you have a bachelor's degree in social work or a related field?
Yes
No
Please describe your experience working with youth in a mentoring capacity. (Use additional paper if necessary.)
Do you have experience in counseling or coaching, specifically with strong interpersonal communication?
Yes
No
If yes, please provide details:
Have you worked with students and families from historically underserved communities?
Yes
No
If yes, please provide details:
Skills
Please describe your ability to communicate professionally with staff, students, and families.
How do you manage your tasks and goals? Are you able to work independently and handle multiple projects at once?
Please describe your familiarity and proficiency with technology and literacy learning platforms (Microsoft Office Suite, PowerSchool, Canvas, Blackboard, Google Drive and Calendar, etc.)
Preferences
Do you have a sports-related background?
Yes
No
If yes, please provide details:
Are you a member of the community where you would be mentoring?
Yes
No
If yes, please provide details:
References
Please provide the names and contact information of two professional references who can speak to your qualifications for this position.
Name
First
Last
Relationship
Phone
Email
Name
First
Last
Relationship
Phone
Email
Signature
By signing below, I affirm that all information provided in this application is true to the best of my knowledge.
Signature
Date
MM slash DD slash YYYY
Thank you for your interest in becoming a Community Youth Mentor with Rise & Reach Project. Your application will be reviewed, and if your qualifications align with our needs, we will contact you for further discussion.
