Volunteer Mentor Application - Jewish Family and Children’s Service of Minneapolis

Apply to become a mentor!

Congratulations on taking the first step to becoming a mentor in the Jewish Youth Mentoring Program! We know you may have questions about what will be expected from you as a mentor. Being a mentor is not complicated or especially time consuming; however it does involve a consistent commitment that will result in a positive impact for youth in our community.

What does it take to be a mentor? Ask yourself if you can…

• Meet your mentee consistently, two to four times per month • Commit to being a mentor to your mentee for at least 12 months from match date. Studies show that youth achieve the greatest impacts when they have been matched for at least one year. • Dedicate the time with your mentee to just the two of you. Your undivided attention is essential in helping a youth reach their full potential. • Contact the Program Coordinator each month. The Program Coordinator will be there to guide your match relationship: to answer your questions, offer advice, help you and your mentee have a safe and fun relationship, and share match activity ideas. • Have reliable transportation and/or technology for meeting with your mentee.

Based upon the information above, do you feel this is the right time for you to be a mentor?

We hope your answer is “Yes!”, but if you have questions, you will have the opportunity during your interview to speak with the Program Manager about your individual situation. Remember: being a mentor isn’t about finding time for a mentee; it’s about inviting a mentee into the life you are already living.

*Please note: Your responses to these questions will not impact your eligibility to be a mentor in our program. These answers help us to best match you with a mentee.

Name*

First Last

I prefer to be called

Date of Birth*

Gender Identified as*

Email*

Enter Email Confirm Email

Ok to leave a message?*

Yes
No

Would you like to receive text messages?*

Yes
No

Address*

Street Address Address Line 2 City State ZIP Code

Best way to reach you*

Call
Text
Email

Best time to reach you*

AM
PM

Emergency Contact Name*

First Last

Relationship to Applicant*

Background

Education

Educational background, degrees, and/or special training

Are you currently employed?*

Yes
No

Full or part time?*

Full time
Part time

Current Employer*

Industry or type of business*

Current Job Title*

Do you have any previous experience (formally or informally) working with or mentoring youth?*

Yes
No

If YES, please provide a summary of your involvement.*

Have you volunteered at JFCS before?*

Yes
No

If yes, when and in what role?*

Volunteer Profile

What motivates you to mentor a child now?*

What value do you believe a mentor brings to the life of a young person?*

What qualities, skills, or other attributes do you feel you have that would benefit a young person? Please explain.*

Check all activities/ areas of interest:*

If other, please specify*

Volunteer Preferences

I think I could do well mentoring a child who is described as…*

(check all that apply)

Some of the youth we serve have disabilities. Would you be comfortable mentoring a child with the following disabilities?*

(Check all that apply)

Physical Disabilities (such as hearing loss, wheelchair use, etc.)
Developmental Disabilities (such as Autism Spectrum Disorder, cerebral palsy, etc.)
Mental health diagnoses (such as ADHD, anxiety, depression, etc.)
Learning Disabilities
Medical Conditions
Allergies (including food allergies)
None of the above

Pre-Interview Questions

Do you have any concerns about your ability to fulfill the 12- month commitment required of mentors?*

Yes
No

If YES, please explain.*

Have you had or do you anticipate having any significant life changes over the next year?*

Yes
No

If YES, please explain.*

Do you have any health factors (mental, physical, or emotional) that could impact your ability to engage with a mentee?*

Yes
No

If YES, please explain.*

Have you ever been accused, arrested, charged, or convicted of a crime?*

Yes
No

If YES, please explain.*

What is your availability to meet with your mentee?*

Driver information

Do you drive?*

Yes
No

Make and Model of Car*

Minnesota Drivers License Number*

Have you had any speeding tickets or other moving violations in the past 5 years?*

Yes
No

If YES, please explain.*

Have you been involved in any automobile accidents in the past 5 years?*

Yes
No

If YES, please explain.*

General Volunteer Information

How did you learn about our volunteer program?*

Select all that apply.

If other, please specify*

References

Please provide contact information for 3 references. Please give complete information in order to process your application.

Personal Reference Name

First Last

Professional Reference #1 Name

First Last

Professional Reference #2 Name

First Last

Consent*

I agree to the following:

In making this application to be a volunteer, I understand that Jewish Family & Children’s Service of Minneapolis routinely performs criminal and driving record checks of all volunteers for the position of mentor for which I am applying.
I certify to the best of my ability that the information provided on this application is true and accurate.

Date