Mentor Application Local Server | Saratoga Mentoring

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Name*

First Last

Age*

Please enter a number from 1 to 100.

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone Number

Work Phone Number

Cell Phone Number*

Email*

Profession/Occupation/College/Situation

Relevant previous employment and/or experience (please include dates)

How did you hear about Saratoga Mentoring?

Why would you like to become a Mentor?

What is your educational background?

Do you have any preferences as to the age or interests of the child with whom you will be matched? (We serve ages 7-17.) If so, what are they?

Are you able to commit for a full year to spend approximately two hours weekly with a child?*

Yes
No

Do you have reliable Transportation?*

Yes
No

Affirmation: To the best of my knowledge, the above information is true and correct. I grant my permission to verify my employment and to contact the above references. (Online applicants can provide consent/signature at the time of the Volunteer Interview.

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