Have you read Are Your Ready to be an Online Mentor?, and
do you feel you meet ALL of the requirements outlined in this document?
Have you read all of the materials on this web site, including the Online Mentoring Guidelines and Activities,
and do you feel committed to the goals of this program?
Your complete first and last name
Your home street address (no P.O. Boxes, please)
Your home address city, state and zip
Your home phone number
The name of your place of employment
(if retired or you work at home, please note such)
The name of your immediate supervisor.
(if retired or you work at home, please say N/A)
The phone number of your immediate supervisor
(We will contact this person only to confirm your employment.
If retired or you work at home, please say N/A)
Your e-mail address (required -- if you do not type this in
completely and accurately, we will be unable to respond to you!!):
Re-enter E-mail Address (required):
The name of a personal reference -- someone you do NOT live with -- that would be willing to answer
questions about you (such as how long they've known you, what your experiences have been with
young people, why they think you would be good as an online mentor, etc. If you are retired,
this reference should be someone who can confirm such)
The daytime phone number of this first reference.
The name of a second personal reference -- someone you do NOT live with.
This person will be asked the same questions as the first reference.
The daytime phone number of this second reference.
What do you like about the Internet?
What do you dislike about the Internet?
What were your favorite books when you were in elementary school? And if you've recently read books
appropriate for elementary readers (like "Harry Potter"), please note them here as well:
What is your opinion of teachers and of public schools -- in general, or just in your area?
What is your opinion or impressions of youth today, particularly those under 12?
How did you hear about this program?
Why do you want to participate in this program?
What are you most looking forward to as part of this program? What aspects of this program
interest you in particular?
Have you ever mentored a youth onsite, face-to-face as part of a formal program?
If so, please name the program below, and where the program is located.
Have you ever mentored a youth online as part of a formal Internet-based program?
If so, please name the program below, and where the program is located.
Do you have regularly, at-least-weekly access to the World Wide Web, and will you
have this access continuously through February 2001?
Name something positive, heart-warming, practical that the Internet has allowed you to experience.
This can be as simple as connecting with a web site for your favorite hobby
(fly fishing, needlepoint, whatever) or communicating regularly with a family member.
Describe how/why this experience is/was important to you:
How long have you been using the World Wide Web?
Are you willing to commit at least one hour a week to this program?
(reading and responding to e-mails from a student, reading and responding to e-mails from
teachers and other program representatives, reading all materials relating to this program, etc.)
Is the computer you will be using primarily at your residence, at work, at a computer station at a library,
or another place? (specify) If it is at work, do you have permission from your supervisor to participate
in this program, using the company's equipment?
Who else has access to your computer?
Is there any reason at all that you feel you would be inappropriate for this online mentoring program?
"If accepted as an online mentor, I
- will strictly adhere to all guidelines in the Online Mentoring Manual
- understand that ALL exchanges between myself and any youth participant will occur only within the bounds
of the Sanchez Elementary School Online Mentoring Web site
- understand that all exchanges between myself and any youth participant are read and archived by the coordinators of this program
- will NOT disclose confidential information that I have obtained in the course of my volunteering
- understand that I am asking to participate strictly as a volunteer, and I expect no payment or reimbursement of any kind
for my participation in this program
- understand that the coordinators of this program can dismiss me as an online mentor at any time, for any reason.
I also understand that there is NO guarantee that I will get to participate in this program,
and that no such guarantee is implied by my submission of this application."
If you agree to these terms, please write in the box below: I agree
Please add any other comments
Applications are processed on an ongoing basis. A Project representative will contact you via e-mail or phone to discuss your submission further after receipt of this application.
We cannot guarantee that you will get to participate in this program; no such guarantee is implied by your submission of this application.
Sanchez Elementary School and the Virtual Volunteering Project reserve the right to refuse participation to any person as an online mentor or other volunteer in this program.
Note: when you "submit", your information is automatically sent to the Virtual Volunteering Project staff via e-mail.
