Mentor Application – Fish Out of Water

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CAP
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Blog
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Who We Are
Contact

Anchors Up! mentor Application

Thank you for your interest in wanting to serve as an Anchors Up! Mentor. If you are completing this form we trust that you are ready to “swim” with us as we provide Bladen County youth with an interactive Positive Youth Development Program. So, tell us about yourself…

First Name

Last Name

Phone

Street Address

City

State

Zip Code

Tell us about your experience working with youth and what you enjoy. (2-4 sentences).

As an Anchors Up! Mentor you will provide youth with needed social, emotional and academic support. Please check all areas that you are comfortable supporting. Please note training is provided.

Wellness (Physical, Emotional, Spiritual) Homework Assistance Goal Setting Relationship Skills Self-Awareness Digital Literacy and Competency Financial Literacy Other

Are you available to work in an after school environment; Monday - Thursday. Currently, we are virtual but will transition to a hybrid model when safe to do so.

Yes No Maybe

If employed, please provide your current employer's name.

Please provide the name and contact information for one professional or personal reference that can speak to your ability to work with youth.

Contact Full Name

Contact Phone

Contact Email

All trusted adults must complete a Criminal Background screening. Will you commit to the screening?

Yes No

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Anchors Up! mentor Application

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