Scribd Logo
Upload

Welcome to Scribd!

  • Als Pals Application

    Uploaded by

    Lucas Thomas
    11 views1 page
    This volunteer mentor application form collects information about the applicant such as name, contact details, academic and major information. It asks about previous mentoring experience, other volunteer work, availability and confirms the applicant understands the responsibilities of being a mentor such as being a role model, maintaining confidentiality, attending weekly and creating progress reports. The applicant is also asked to provide special interests or skills mentees could learn and the form collects a signature and optional faculty/staff recommender details.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This volunteer mentor application form collects information about the applicant such as name, contact details, academic and major information. It asks about previous mentoring experience, other volunteer work, availability and confirms the applicant understands the responsibilities of being a mentor such as being a role model, maintaining confidentiality, attending weekly and creating progress reports. The applicant is also asked to provide special interests or skills mentees could learn and the form collects a signature and optional faculty/staff recommender details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Als Pals Application

    Uploaded by

    Lucas Thomas
    This volunteer mentor application form collects information about the applicant such as name, contact details, academic and major information. It asks about previous mentoring experience, other volunteer work, availability and confirms the applicant understands the responsibilities of being a mentor such as being a role model, maintaining confidentiality, attending weekly and creating progress reports. The applicant is also asked to provide special interests or skills mentees could learn and the form collects a signature and optional faculty/staff recommender details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Als Pals Volunteer Mentor Form Fall 2011

    Applications are due now and interviews must take place by September 2nd
    ____________________________________ ____________________
    Name
    CWID #
    _______________
    ____________________________
    Academic Yr. for 2011-2012
    Major
    (Fr So Jr Sr)

    ___________________________________
    Email

    _____________________
    My College
    _________
    GPA

    _______________________________
    Cell Phone

    I have worked as a mentor at ___________________________with ___________ grade mentees


    during __________________[please indicate what semester].

    I have not mentored, but my previous experience working with children includes:
    ___________________________________________________________________________________

    Please list other volunteer work you have done while at UA:
    I am available to mentor on (circle all possibilities)

    Tuesday

    Wednesday

    Thursday

    Once a month, there will be a 30 minute in-service. Could you do this (circle whatever works)
    before mentoring

    after mentoring

    either before or after mentoring

    As a volunteer, I understand that I will have to 1) serve as a role model at all times 2) maintain
    complete confidentiality 3) attend each week 4) create a weekly progress report for my mentees and 5)
    make every effort to attend special events. I will also attend orientation as assigned and notify Star
    Bloom by phone or email anytime I am prevented by illness or emergency from being present for
    mentoring.
    Please share any special interests/skills you have that our mentees would enjoy learning from you.
    ___________________________________________________________________________________
    ________________________________
    Signature
    Faculty/Staff Recommender ___________________________
    (Optional)
    Name

    ___________________________
    Date
    ______________________________
    email

    For additional Information please contact: Star Bloom at star.bloom@ua.edu or 348-1025

    Return your application to Room 346 Ferguson Center and sign up for an interview.

    You might also like