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Inspyer Mentor Interest Form

Thank you for your interest in becoming an Inspyer mentor. Our mentors provide encouragement, guidance, accountability, and positive support to young adults as they work toward personal and professional goals. This form will help us learn more about your experience, interests, and availability.

Are you currently 18 years of age or older? *

Yes

Contact Information

Full Name *

Pronouns (Optional)

Email Address *

Phone *

Preferred Method of Contact *

Phone

Text

City

State

Postal Code

How did you hear about Inspyer? *

Choose one or more options

Professional and Community Background

Current Occupation or Profession *

Professional Industry *

Highest Level of Education

LinkedIn/Professional Website

Briefly describe your professional, volunteer, or life experience. *

Have you previously served as a mentor? *

Yes

If yes, briefly describe your mentoring experience.

Mentoring Interests

Why are you interested in becoming an Inspyer Mentor? *

Which areas are you most comfortable supporting? (Check all that apply) *

Career Development

Workforce Readiness

Entrepreneurship

Financial Literacy

Budgeting and Credit

Education Planning

Emotional Wellness

Confidence Building

Healthy Relationships

Communication Skills

Independent Living

Housing Readiness

Goal Setting

Homeownership

Leadership Development

General Life Guidance/Mentorship

What age group would you prefer? *

Ages 18-20

Ages 21-24

No Preference

Are there any populations, industries, or life experiences with which you have particular knowledge or familiarity?

Availability and Commitment

What days are you generally available? (Check all that apply) *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

What times are you generally available? (Check all that apply) *

Mornings 9AM-12PM

Afternoons 12PM-3PM

Late Afternoon 3PM-6PM

Evenings 6P-9PM

How much time are you able to commit? *

One-Time Event

Occasionally

Monthly

Twice Per Month

Weekly

As Needed

Do you Prefer: *

In-person Activities

Virtual Activities

Both/Mixture

No Preference

Are you willing to complete mentor orientation and training? *

Yes

Are you willing to complete a background screening? *

Yes

References

Reference 1 Name *

Reference 2 Name *

Reference Relationship *

Choose one or more options

Reference Relationship *

Choose one or more options

Phone Number *

Email Address *

Additional Information

Is there anything else you would like us to know?

Acknowledgment *

I understand that submitting this form is an expression of interest and does not create a formal partnership or agreement. An Inspyer representative will contact me to discuss potential opportunities and next steps.

Electronic Signature

Clear

Today's Date *