YELS 2012-2013 MENTOR APPLICATION DUE: Monday, September 10th

Return to: YELS | Neighborhood Houses High Point Center, 6400 Sylvan Way SW | Seattle, WA 98126 You can also return application via email: aparnar@nhwa.org, or fax (206) 588-4901 Got Questions? Call (206) 588-4900 ext. 626.

PERSONAL INFORMATION Name: _____________________________________________________________________________________ Address: __________________________________________________________________________________ City: Phone: What are 3 words that describe you? 1. 2. 3. Why do you want to be a mentor? What gifts would you bring to our programs? State/Province: ______ Postal/Zip Code: _________________ Email: _____________ _______________________________

If you were going to organize a workshop/event, what would it be?

Describe a recent conflict- who was it with? How was it resolved?

What were you like in Middle or High School?

If you had 1 advice for middle/high school age youth, what would it be?

Any thing else you want to tell us about yourself?

Which programs are you interested in mentoring with? Please rate your preference from 1- 3. Program Name Teens Leading Change (TLC) th th Grades 5 8
* STEM Focus

Mentoring Days and Hours Monday (bi-monthly) 3:30 5:30 pm Saturday (monthly) 11 3pm

HS Youth Leadership th th Grades 9 12

* Media Literacy and Technology Focus

Thursdays (monthly) 5 7pm Saturday (monthly) 11 3pm

YUM th th Grades 6 12
* Cooking, Food systems and Gardening Focus

Wednesday (bi-monthly) 3:30 5:30 pm

Informational Interview Dates Wed love to know you better and tell you about our program, please mark you availability: * Not required for returning mentors. Wednesday, September 12 6 pm 6:15 pm 6:30 pm 6:45 pm 7 pm 7:15pm th Thursday, September 13 6 pm 6:15 pm 6:30 pm 6:45 pm 7 pm 7:15pm th Friday, September 14 6:15 pm 6:30 pm 6:45 pm 7 pm 7:15pm
th

Mentor Orientation and Training Thursday, September 20th 6 8pm Thursday, October 4th 6 8pm