Mentor Volunteer Form

Thank you for your interest in mentoring an East Bay College Fund student recipient of a Great Expectations Award. We appreciate learning about you and why you are interested in becoming a mentor to a young college student. We select individuals to mentor whose profiles best match the current scholars. While we may not be able to pair you immediately with a student, we hope you will consider mentoring future students in need. Please contact us with any questions, and thank you again for your interest.

1. CONTACT INFORMATION

First Name Required Question

Last Name

Street Address Required Question

Apt/Suite/Office

City

State

Postal Code Required Question

Email Address Required Question

Home Phone Required Question

Cell Phone

Fax Number

2. When and how is it best to contact you? Required Question

3. What is your occupation? Required Question

EDUCATION

4. College(s) attended, (please include city, state) Required Question

Major/Minor: Required Question

Graduation Year Required Question

5. High School Attended (please include city, state) Required Question

6. HOBBIES, PERSONAL/PROFESSIONAL INTERESTS: Required Question

PLEASE PROVIDE NAME AND CONTACT INFO FOR TWO ADULT REFERENCES

7. Reference #1

First Name

Last Name

Company Name

Email Address

Phone Number

8. Reference # 2

First Name

Last Name

Company Name

Email Address

Phone Number

9. MORE ABOUT YOU: What interests you about becoming a mentor? What do you look forward to, or have questions about, int the mentoring relationship? Please answer briefly on the back of this page. Required Question

10. How did you hear about the East Bay College Fund mentoring program?

	Friend
	EBCF brochure, printed information
	Current donor/mentor/board member
	Website
	Other