New Mentor Commitment Form

Thank you for your commitment to serve as a mentor for Big Shoulders Fund Scholars! We hope to connect over 400 scholars with 100 mentors each academic year and we are so excited that you have joined this vital program! Big Shoulders Fund asks that mentoring program volunteers commit to serving as a mentor for one full school year. Mentors are required to hold sessions with their mentees once a month. Mentors should coordinate all sessions through the school. Please contact Kelsey Kyle, Assistant Director of Volunteerism, with any questions at kkyle@bigshouldersfund.org

Mentor Contact Information

Preferred Salutation

First Name

Last Name

Date of Birth

mm/dd/yyyy

Home Address

City

State

Zip Code

Preferred Email Type

Preferred Email Address

Preferred Phone Type

Preferred Phone Number

Employer

Job Title

Are you an alumnus/alumna of a Big Shoulders Fund elementary or high school? (Y/N)

School Placement Information

Confirmed School Placement

Please indicate the school you were placed at as a mentor.

Mentor Requirements

Please confirm your completion or intention to to complete the following requirements.

I will register and attend VIRTUS / Protecting God’s Children within 60 days of starting my volunteer service and provide copies of my certificate of completion to both my placement school and the Big Shoulders Fund Manager, Volunteer Services.

If you have yet to register for VIRTUS training, you can do so here: https://virtusonline.org/virtus/

I have signed the Code of Conduct Form

Access the Code of Conduct here: https://bit.ly/3u02RvH

VIRTUS Training Certificate of Completion and Code of Conduct Forms

You may use this field to upload your mentor requirement forms: 1) Signed Code of Conduct form and, 2) VIRTUS Certificate of Training if you have already completed the VIRTUS training. Note: This option is offered for your convenience. You may also submit either/both form to kkyle@bigshouldersfund.org

Drop your files here

Mentor Agreements

I, as mentor, agree to: • Make at least a one-year commitment to mentoring; • Meet monthly with my students at their school (virtually); • Notify the principal if I have any concerns about my mentees; • Communicate with the students and their parents through the principal; • Accept assistance/guidance from my mentee’s teacher, principal, and/or school support staff; • Ask school principal or Big Shoulders Fund staff when I need assistance, do not understand something, or am having difficulty with my mentoring relationship; • Notify Big Shoulders Fund of any changes in my contact information; • Notify Big Shoulders Fund of any significant change in my mentees including any financial/tuition challenges they may experience; • Provide students with positive feedback/closure to our mentee/mentor relationship whenever it comes to an end; and • Refrain from contacting or seeing my mentee outside of the established parameters and school sites (or scholarship receptions, if applicable) where the program takes place.

Mentor Full Name

Agreement Date

mm/dd/yyyy

Send me a copy of my responses

Report Abuse