Thank you for applying to be a Mentor with Evanston Scholars. We look forward to reviewing your application.
Applicant Information
First:
Last:
Address & Contact Information
Street Address (Include Apt. No.):
City:
State:
Zip:
Email:
Home Phone:
Cell Phone (Personal):
Date of birth (mm/dd/yyyy)
Place of birth (city, state)
How did you learn about Evanston Scholars?
Current Employment Information
Company
Street Address
City
State
Zip code
Title
Phone
Email
Personal Information
Ethnicity/Race:
Please select...
African-American
Hispanic
Asian-American
Caucasian
Mutli-Racial
Other
Gender
Female
Male
Educational Information
Name of High School
City
State
Undergraduate Institution
Major
Other Undergraduate Institution(s)
Degree(s)
Graduate Institution
Other Graduate Institution(s)
Degree(s)
Were you the first person in your family to attend college?
YES
NO
Please share your experience with the college application and financial aid process.
Please list languages in which you are fluent.
Please check the five characteristics that are MOST important to you or best describe you.
Outgoing
Shy/Reserved
Family Oriented
Athletic
Artistic/Creative
Enjoy Outdoor Activities
Enjoy Travel
Adventurous
Homebody
Goal Oriented
Conversationalist
Enjoy Music
Enjoy Volunteering
Enjoy Pets
High Energy
Laid Back
Faith is Important to Me
Enjoy Reading
Enjoy Theatre/Movies
Enjoy Watching Sports
Interested in Technology
Why would you like to be an Evanston Scholars mentor?
What characteristics do you possess that would make you a good mentor candidate?
Have you ever previously mentored a youth or teen through a formalized program? Have you previously worked with students of color? Please list the program(s) and the nature of your involvement.
Required Certifications
I certify that the information provided in this application is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstance that could otherwise jeopardize consideration of this application. If selected as a mentor, I understand that Evanston Scholars will conduct a background check prior to my work with students.
Signature of Applicant
Date
Contact Information