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College Mentor Form

Thank you for your interest in serving as a College Mentor. Please complete this form to the best of your abilities. We will then reach out to you with next steps.

Basic Information

First Name^*

Last Name^*

Date of Birth^*

Gender^*

Email^*

Phone Number^*

Street Address^*

Please include apartment number if applicable.

City^*

Zip Code^*

Shirt Size^*

Are you willing to submit to a criminal background check?^*

The results are confidential and will not be shared with anyone other than the BRYC staff member requesting the background check.

Employment Status^*

Organization (Company/School)

If you are a student, please enter the school you are attending. If you are a working professional, please enter the organization you are affiliated with.

Job Title

Questions

Please provide a little bit of personal/background information (100 words or fewer).^*

Serving as a College Mentor requires a commitment of at least 75 minutes per week from August 2019-May 2020. Are you willing and able to commit the necessary time and energy to your Fellow?^*

Please see the question below.^*

Imagine that your Fellow has worked hard all fall submitting high quality applications to their list of colleges, but they receive multiple rejection letters in December. They’re highly discouraged, especially because their ACT score has stayed the same since June as well. How would you move forward?

Please describe your approach to setting goals, developing action plans, and/or managing deadlines.^*

Imagine that one day your Fellow stopped communicating with you. They started missing meetings, ignoring tasks, and seeming disinvested in the process. How would you handle the situation?^*

Do you feel comfortable asking probing questions of your Fellow to determine if there are any issues holding them back that may be below the surface (e.g., learning disabilities, anxiety, confidence issues)?^*

College Mentor Form

Basic Information

Questions

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