Mentor Application

Basic Information

1. First (required)

2. Middle

3. Last (required)

4. Street Address (required)

5. City (required)

6. State (required)

7. Zip (required)

8. Home Phone (required)

9. Cell Phone (required)

10. Work Phone (required)
    

11. Email Address (required)
    

12. Best method to contact me (required)

    Home PhoneCell PhoneEmail

13. Best times to contact me (required)
    

14. Other languages you speak
    

15. Educational Background (required)

    Some High SchoolHigh School GraduateSome CollegeCollege GraduateTechnical/Trade SchoolGraduate/Professional SchoolOther

References

1. Reference 1 - Full Name (required)
   

2. Reference 1 - Email Address (required)
   

3. Reference 1 - Cell Phone (required)
   

4. Reference 2 - Full Name (required)
   

5. Reference 2 - Email Address (required)
   

6. Reference 2 - Relationship (required)
   

7. Reference 3 - Full Name (required)
   

8. Reference 3 - Email Address (required)
   

9. Reference 3 - Cell Phone (required)
   

10. Reference 3 - Relationship (required)
    

Agreement

1. As an applicant to become a Fresno Unified Mentor, I agree to attend the Mentor Orientation. (required)
   

2. I agree to follow rules and procedures of Fresno Unified School District. (required)
   

3. I agree to act and dress appropriately while at the school site which I am assigned. (required)
   

4. I agree to respond to emails, phone calls, and correspondences from the Mentor Office in a timely manner. (required)
   

5. I agree to contact the Mentor Facilitator and/or Mentor Office when an issue arises. (required)
   

6. I understand and agree that by submitting this application, I authorized FUSD to make inquiries regarding my suitability as a mentor working with children. (required)
   

7. I understand that after successful completion of the mentor orientation, I will be expected to serve the minimum time I have agreed to. (required)
   

8. I understand when I leave the program I will return any ID badges and materials obtained while serving as a volunteer in this program. (required)
   

Personal Details

1. I was born in (required)
   

2. How many brothers do you have? (required)
   

3. How many sisters do you have? (required)
   

4. I am the (required)

   oldest childmiddle childyoungest childonly childother

5. How many children do you have? (required)
   

6. How many pets do you have? (required)
   

7. What do you like to do during your free time? (required)
   

8. What are your favorite things to do after school or work? (required)
   

9. What TV shows and movies do you enjoy watching? (required)
   

10. What sports did you play in high school? (required)
    

11. What type of music do you like to listen to? (required)
    

12. What are some interesting places you have visited? (required)
    

13. If you could travel to any place in the world, where would you go and why? (required)
    

14. What is your dream job? (required)
    

15. If you had one wish, what would you wish for? (required)