The Puddle Project Mentor Application

This application will be used to gather information regarding applicants who are interested in being a Mentor for The Puddle Project. All fields marked with * are required and must be filled.

Would you agree to a Background Check? *

Yes

First Name *

Last Name *

Email *

Address *

State *

City *

Postal code *

Phone *

How do you prefer to be contacted? (Check all that apply?) *

Cell Phone Call

Text

I agree to terms & conditions provided by The Puddle Project. By providing my phone number, I agree to receive text messages from the business.

Were you a teen mom or dad? *

Yes

Mentor Requirements

Mentors are required to volunteer at least one hour per month for this program. Please specify the best times you are available to Mentor.

We are currently holding virtual mentoring meetings, when in-person meetings aren't possible. Do you have a device that will support this? *

Yes

If Yes, would you be willing to use this option with your Mentee?

Yes

I am willing to Mentor in the following areas: *

Southern Suburbs

Chicago Public School Buildings

Both

Please add any additional information about location that you would like to share.

Employment Information

This provides information regarding your areas of expertise and willingness to share information as it relates to The Puddle Project with your employer.

Which Company are you affiliated with (if retired, please indicate)? *

Does your Company provide volunteer activities? *

Yes

Please indicate below if you are willing to approach your Company about any of the following opportunities. *

Mentoring

In-Kind Good / Services

Corporate Sponsorship

Other (See Below)

If you answered "Other" for the question above, please explain:

Questionnaire for Mentor Determination

Your responses to the following questions will help us determine your eligibility and match you with a Mentee.

Why are you interested in mentoring? *

What would you like your Mentee to know about you? *

What would you like your Mentee to know about motherhood or fatherhood? *

What qualities, skills, or other attributes do you feel you have that would benefit a teen or the organization? *

What do you think will be most challenging about being a Mentor? *

Thank you for completing our Mentor Application.

The Puddle Project