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GoodGuides™ Mentor Inquiry Form
 
Please complete and submit the form below to apply as a mentor for the Goodwill GoodGuides™ youth mentoring program.
 
Mentors need to commit for one year of mentoring, approximately 4-6 hours per month,
which will include group and individual activities.
Mentor Information
First name:
Last name:
Middle initial:
  Gender: 
Street address:
City:
State:
  Zip: 
Home phone #:
  Cell #: 
Email:
Occupation:
Employer:
Felony/misdemeanor
conviction(s) last 5 yrs.?:
Please provide a brief summary of your background, special qualities/skills you have
that may benefit a youth, how you enjoy spending your free time (sports, music, art,
volunteering, etc.), and what interests you about becoming a mentor (include past
mentoring experience):
Days Preferred:
SU MO TU WE TH FR SA
Times Preferred:
Morning Afternoon Evening
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