Volunteer Mentoring Application

 

Mentoring applications are due September 16, 2013! CCASL will contact you to schedule an interview once you’ve submitted your application. Positions are filled on a rolling basis and may close before the deadline if all available spots are filled. Please note: there is a mandatory training from 9:00am-4:00pm on September 21, 2013. Acceptance into the program is contingent upon your attendance at the training. Please contact Bailley Wootton at wootton@gonzaga.edu with any questions. Thank you!

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General Information:

First Name:
Last Name:
Preferred Name:
Date of Birth: (MM/DD/YYYY)
Student ID#:
Preferred Email:
Cell Phone: (XXX-XXX-XXXX)
Address:
Address (cont.):
City:
State:
Zipcode:
MSC #
Select year in school:
Major:
Gender: Male
Female
Other
Prefer not to answer
Ethnicity (optional):
GPA:
T-Shirt Size:
Food Allergies/Preferences: Please check all that apply:
I am a vegetarian
I am a vegan
I am gluten intolerant/sensitive
I have a peanut allergy
I am allergic to dairy/lactose intolerant
other:

List all commitments you anticipate having next year (Extra-curricular, leadership positions, jobs, etc.):

Application Question

In 1-2 paragraphs, please explain why you want be a mentor in one of our programs. Topics can include (but are not limited to): what has motivated you to mentor a child, what unique skills you can bring to the program, and/or what role you plan on playing as a mentor.

Programs

  • Campus Kids Campus Kids is a campus-based, one-on-one mentoring program that pairs Gonzaga students with fourth, fifth, and sixth graders in order to help youth succeed in academics and build healthy relationships. Once a week, children visit their Gonzaga mentor on campus and are engaged in a variety of activities, including a group activity, individual tutoring time, and games. Outside of the Campus Kids day, Gonzaga mentors are required to visit their mentee once a week at school and participate in a once-a-month Saturday activity. Campus Kids takes place Monday- Friday. Campus Kids requires a full academic year commitment.
  • Connections Connections is a one-on-one mentoring program that pairs Gonzaga students with middle school youth in order to help youth succeed in academics and build healthy relationships. Every Wednesday or Thursday afternoon from 3:00-5:15pm, Gonzaga mentors visit their mentee at their school and are engaged in a variety of activities, including a group activity, individual tutoring time, and games. Outside of Connections, Gonzaga mentors are also required to visit their mentee once a week at school and participate in a once-a-month Saturday activity. Connections requires a full academic year commitment.
  • Earthbound Earthbound will not take place during the 2013-2014 academic year. Please consider volunteering with another mentoring program!
  • GAME GAME mentors meet once per week on either Tuesday or Wednesday from 6:30-8:30pm. GAME is designed to teach teamwork and positive relationships to local middle school students. It uses social interaction and physical activity to increase the self-esteem and resilience of middle school youth. Mentors participate in P.E. style games including dodge ball, basketball, and a variety of other fun games and reflection activities. GAME requires a semester commitment.
  • Smile Smile is dedicated to improving kids' self-esteem and building positive relationships. Gonzaga mentors meet at an elementary school 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. Smile requires a semester commitment.
  • Zag Study Buddies (ZSB) Zag Study Buddies is a two day per week commitment; volunteers can sign up for Monday AND Wednesday or Tuesday AND Thursday from 3-4:30/5:00pm. ZSB is an after school tutoring program working at four local elementary schools and one middle school. The program connects Gonzaga mentors with youth struggling academically to focus on school work and help with homework comprehension and completion. ZSB requires a semester commitment.

In rank order, please list the programs you are applying for.
First Choice
Second Choice
Third Choice
Fourth Choice
 

Availability:

Which day(s) are you available between 3:00-5:30pm? Although mentors are only assigned to one day of programming a week (except Zag Study Buddies), please mark all that apply. This will help CCASL make the best placements possible and will increase the likelihood that you are placed in the program of your choice.
Monday
Tuesday
Wednesday
Thursday
Friday
Which day(s) are you available between 6:30-8:30pm (GAME hours)?
Tuesday
Wednesday
 
Will you have a car? Yes No
Do you have proof of car insurance? Yes No

If selected as a volunteer for this program do you agree to attend:
Yes No - Weekly Programming
Yes No - Training and Reflection Activities
Yes No - Other events as assigned
 
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:
 

History with the Program:

Are you a returning mentor in CCASL's mentoring programs? Yes No
If so, which day/school and program are you returning to?
Have you participated in a different mentoring program before? Yes No
If so, which one?
 
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 make sure you will be able to keep the required length of commitment (GAME, Smile, Zag Study Buddies- 1 semester; Campus Kids, Connections- 2 semesters/1 full academic year). Remember, mentor training is mandatory in order to participate. Please contact Bailley Wootton with any questions or concerns- wootton@gonzaga.edu or (509) 313-6821. Thanks!