Rainier Athletes Mentor Info Form

Rainier Athletes Mentor Info Form

Contact/Demographic Information

First Name*

Last Name*

Email*

Phone #*

Phone

Address*

Date of Birth*

Gender

Ethnicity

Educational/Employment Information

Current Employer (if applicable)

Current Job Title (if applicable)

Highest Level of Education*

High School

Undergrad School or University

Graduate School

Major(s)/Focus/Field/Degree

Year in School

RA mentors are required to be at least a junior in high school

Junior

Senior

Date Graduated (if applicable)

Rainier Athletes Specific Information

Who did you hear about RA from?*

Which business did you hear about RA from/at?*

What community event did you attend?*

Which online posting did you find RA on?*

How did you find out about RA?*

What type of mentoring are you interested in doing?*

Elementary/Middle School

High School Squad Leader

Why are you interested in mentoring with Rainier Athletes?*

What sports and/or other extracurricular activities have you participated in? If possible, we will match you with a student that has similar interests.*

Do you have any experience working with youth? If so, please describe your experience:*

Do you have proficiency in languages other than English and if so, which?*

Have you ever been mentored? If yes, what was your experience? **

Have you mentored someone else previously? If yes, what was your experience? **

Next Steps and Additional Information

Annual mentor training is required for all Rainier Athletes mentors. After completion of this application, we will be in touch to schedule you for an upcoming training.*

I acknowledge I will need to complete annual mentor trainings!

Have you ever been convicted of a felony or misdemeanor? If yes, please explain:*

DISCLAIMER: Background Check

Washington State Law requires that all prospective volunteers who will have regularly scheduled unsupervised access to children under sixteen years of age, developmentally disabled persons, or vulnerable adults must complete and sign a volunteer application and participation agreement. All prospective Rainier Athletes mentors will undergo a background check and a copy of the response is kept on file. Please note that failure to provide complete and accurate information may be grounds for denial of your application to serve as a volunteer. Further instructions will be provided during your interview.

References (non familial)

Please provide 2 non familial references

Reference #1 - Full Name*

Ref #1 Phone*

Ref #1 Email*

Reference #2 - Full Name*

Ref #2 Phone*

Ref #2 Email*

Is there anything else you think we should know in considering your application?

By typing your name below and clicking “Submit” below, you agree that everything you have noted in the above application is true to the best of your knowledge. *

Send me a copy of my responses

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