Harriett’s Daughters, Inc. – Mentor Application Questions

Contact Information

First Name *This question is required.

Last Name *This question is required.

Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Street Address *This question is required.

Apt/Suite

City *This question is required.

Zip *This question is required.

Email Address *This question is required. This question requires a valid email address.

Primary Phone Number *This question is required. 555-555-5555

Secondary Phone Number 555-555-5555

Please self-describe *This question is required.

Why do you want to be a mentor and what do you hope to gain from this experience? *This question is required.

What are your interests and/or hobbies? *This question is required.

If you said other, please specify.

Do you have any special abilities, talents, and/or needs? *This question is required.

Tell us about your experience working with school-aged girls. *This question is required.

What would you like a prospective mentee to know about you? *This question is required.

What experience do you have that helps you relate to what our girls are going through (e.g., loss of a mother to cancer or a mother with an end-stage cancer diagnosis)? *This question is required.

What do you think your greatest challenge will be as a mentor? *This question is required.

Have you ever been a mentor? *This question is required.

Have you ever been convicted of a felony? *This question is required.

If yes, please provide details. *This question is required.