MENTEE INTEREST SURVEY

Name:______

What is your current day plan (i.e. school, work, job training program)?______

______

______

Please check all the activities you are interested in. Circle all that apply.

BikingCampingVolunteeringCookingLibrary

HikingBoatingMusicSportsExercising

VideogamesSwimmingGardeningParksMovies

FishingAnimalsEatingBoard gamesArt

ShoppingComputersDanceTVReading

In which of the following areas do you think you’d like to have a career? Circle all that apply.

advertising / archeology / architecture / art
auto repair / aviation / cooking / computers
construction / cosmetology / education / electronics
engineering / fashion / fire department / forestry
insurance / law / management / math
medicine / military service / oceanography / law enforcement
postal service / public relations / radio / recreation
religion / sales / secretarial work / stockbroker
television / transportation / writing

Circle any of the words below that you think describe your personality:

quietshynervouswithdrawnoutgoing

talkativefriendlyinsecureinquisitiveadventuresome

confidentspiritualsensitivehappymoody

Name 3 things that are important to you:______

______

______

Courtesy of Mentoring Partnership of Long Island, The ABC’s of Mentoring.

Mentee Interview

Mentee’s Name______Date______

1. What type of person would you like to be matched with?

2. Will you be able to fulfill the time commitment of the program: 1 year, once a week contact, twice a month in person meeting in the community?

3. Are you willing to attend the two hours Mentee Orientation as well the Meet and Greet Social event?

4. One of the program requirements is to communicate with the Mentor Coordinator at least once a month about your relationship with your mentor. Are you okay with that?

5. How do you like school? Work?

6. How well do you do in school? Work?

7. Tell me about your friends.

8. Do you have any questions about the program?

Opening Doors for Homeless Youth