2024-2025 Lunch Buddies Mentor Application

Thank you for your interest in becoming a Lunch Buddies mentor for the 2024-2025 school year!

One Keewatin Elementary student is still in need of a mentor this school year.

If you can meet our mentor requirements, please fill out the application below, and UWNEMN staff will be in touch with next steps!

Name

Date of Birth

Gender

Street Address (including city, state, zip code)

Home/Cell Phone

Work Phone

How did you hear about Lunch Buddies?

Newspaper

Radio

Workplace Meeting

Word of Mouth

Other…

Please check this box if you are applying to be an alternate in case a mentor has a schedule conflict.

Indicate the preference for which school you would like to mentor at:

Are you able to commit to spending a minimum of 40 minutes/week for the academic year at a school with the assigned student?

Are you able to commit to meeting with your mentee through May 2025?

Do you commit to completing the mentor training session prior to participating in the program?

1. What motivates you to volunteer as a mentor?

2. Please describe any previous experience you have volunteering or working with youth.

3. What qualities, skills, or other attributes do you feel you have that would benefit a mentee? Please explain.

4. Please describe any health concerns you have that might impact your participation in this program.

5. How would you describe yourself?

6. How would your friends, family, and co-workers describe you?

7. Have you ever been arrested or convicted of a crime? If so, what were the circumstances?

8. Have you ever been investigated or convicted of sexually abusing or molesting a youth 18 or younger? If yes, please explain.

Are you willing to communicate regularly and openly with program staff, provide monthly information regarding your mentoring activities, and receive feedback regarding any difficulties during your participation in the mentoring program?

Education Background (check one)

Other:

Please provide employment information for the past five years, with most recent position held first.

Please list the names, addresses, and phone numbers of three people you would like to use as character references (only people you have known for at least a year).

Do you speak any languages other than English? If so, which languages?

If so, which languages?

What are some favorite things you like to do with other people?

What are your favorite subjects to read about?

What is your job and how did you choose this field?

What is one goal you have set for the future?

If you could learn something new, what would it be?

What person do you most admire and why?

Describe your ideal Saturday.

List any other areas of strong interest:

I agree to follow all mentoring program guidelines and understand that any violation will result in suspension and/or termination of the mentoring relationship.

I understand that United Way of Northeastern Minnesota is not obligated to provide a reason for their decision in accepting or rejecting me as a mentor.

In making this application to be a volunteer, I understand that United Way of Northeastern Minnesota routinely performs criminal record checks of all volunteers for the position of mentor for which I am applying. This check may be done on me if I sign below. If I fail to sign, it may be grounds for rejecting me as a mentor.

(optional) I agree to allow United Way of Northeastern Minnesota to use any photographic image of me taken while participating in the mentoring program. These images may be used in promotions or other related marketing materials.

E-Signature

Date

Background Check

To speed up the application process, please consider uploading a signed background check form before submitting your application.

To do so:

1) Click here to download the Background Check Form.

2) Fill it out in its entirety. This form must be completed with a written signature; a typed out name will be rejected by the BCA.

3) Scan or photograph your completed form and upload it at the link below or email it to sarah@unitedwayenmn.org.

Upload Your Background Check Form Here

One file only.
200 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.