Group Mentoring Application

Online Application for Gonzaga University Mentoring Programs:

Group Mentoring Programs

*Due Wednesday, January 23rd, 2013*

**Please note: The group mentoring programs require a minimum of a one semester committment to the program in order to participate.  Also, there is a mandatory training that will be provided from 7:30-9:30pm January 28th, 29th, or 30th. Please plan on attending one of these training sessions as it is required for participation in the mentoring programs.  If you have questions, please contact Bailley Wootton at 313-6821.  Thanks!**
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General Information:
Gonzaga ID#:*
Last Name:*
First Name:*
Gender: Male Female
Local Address:
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City:
State:
Zipcode:
Permanent Address:
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City:
State:
Zipcode:
Phone #:
Year in School:
Major:
Email Address:
Tee Shirt Size:
Are you a first generation college student? Yes No
Do you have a car? Yes No
Do you have proof of insurance? Yes No
Are you a Service Learning Student? Yes No
 

Availability:
Are you available between 3:00 - 5:30 PM? (Mark all that apply. Note: GAME runs Tues. or Wed. 7-9pm)
Monday
Tuesday
Wednesday
Thursday
Friday
 
Please note that programs are filled on a first-come, first-served basis and may close before the deadline if all available spots for mentors are filled.
Notes:
 
Please rank the following programs to indicate your interest:
  • Zag Study Buddies (ZSB) Zag Study Buddies (ZSB) is a two day per week commitment; volunteers can sign up for Monday AND Wednesday or Tuesday AND Thursday from 3-4:15. ZSB is an after school tutoring program working in the Spokane community at four local elementary schools and one middle school. The program connects Gonzaga student tutors with youth struggling with their academics to focus on school work and help with homework comprehension and completion. Student mentors meet the ZSB mentoring group at 2:45 each day of programming to travel to their school.
  • SMILE SMILE is dedicated to improving kids’ self-esteem and building positive attitudes. Gonzaga mentors meet at the schools one day per week (Monday through Friday as available) for one hour from 4-5pm to participate in activities that focus on self-esteem, culture, physical activity, art, and science. SMILE works with the Express after school program at eight local elementary schools with students from kindergarten through sixth grade.
  • GAME GAME mentors meet once per week on either Tuesday or Wednesday for two hours from 7-9pm. GAME is designed to teach teamwork and good sportsmanship to local area middle school students. It uses social interaction and physical activity to increase the self-esteem and resilience of local students. Mentors participate in P.E. style games including dodge ball, basketball, volleyball, and a variety of other fun and physical games.
  • Earthbound (includes Garry Gardening) Earthbound mentors meet once per week from approximately 3:30-5pm to conduct environmental awareness with local area middle school students. Earthbound runs after school programming that is fun and environmentally educational. It focuses on schools with high rates of free and reduced lunch to ensure that a lack of economic privilege will not lead to a lack of environmental awareness and appreciation. At Garry Middle School, mentors will also have the opportunity to work in the Garry garden and greenhouse to educate students about sustainability, healthy lifestyles and gardening.
 
Rank Choices (Please only include programs in which you would be happy to participate):
First Choice:
Second Choice:
Third Choice:
Fourth Choice:
 
Have you previously participated in one of the mentoring programs? Yes No
If yes, please continue.
 

History with the Program
Previous Program:
Previous School:
Previous Day
 
I understand that any information I provide during this application process will be used to determine my eligibility to participate. I also understand that this information may be shared with other entities involved in the program such as Spokane Public Schools. I consent to the release of my information for this purpose. Please initial:
 
*** Prior to applying, please be prepared to attend the mandatory mentor training on Saturday, September 8th. Selected applicants must attend.