Mentorship Application Form

Dear Prospective Mentor,

Thank you for your interest in becoming a mentor for our NBloom program.

Please complete the form below to help us understand more about your background, experience, and motivation. Your responses will be used to match you with a mentee who will benefit most from your guidance.

Thank You,

SNB Team.

Full Name *

Date of Birth *

Gender Identity *

Preferred Language(s) *

Phone Number *

Email Address *

Physical Address *

Current Occupation *

Organization/Company Name *

Educational Background and Qualifications *

Why are you interested in becoming a mentor for our program? *

What do you hope to achieve through mentoring? *

What strengths or skills do you bring to the mentorship program? *

What strengths or skills do you bring to the mentorship program?

What issues facing vulnerable girls are you familiar with (e.g., abuse, trauma, homelessness)?

Provide examples of past mentorship or volunteer roles (if any)

What days and times are you available for mentoring sessions?

How long are you willing to commit to the mentorship program? (e.g., 3 months, 6 months, 1 year)

Preferred mode of mentoring

Virtual

In-Person

Hybrid

Which age group or specific issues are you most comfortable mentoring?

Describe your mentoring style or approach (e.g., goal-oriented, empathetic, structured)

How do you handle conflicts or challenges in mentoring relationships?

Please provide the names and contact details of two references who can attest to your character and suitability for this role *

How familiar are you with our organization’s values and goals? *

Are you willing to undergo training on safeguarding, cultural sensitivity, and trauma-informed mentoring? *

Yes

Do you agree to uphold confidentiality and ethical guidelines in mentoring? *

Yes

Do you have any questions or concerns about the mentorship program?

Mentorship Application Form

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