Complete this form if you would like to be a mentor. All fields are required.

Have you ever been a mentor or participated in mentor training?

Have you ever been arrested or convicted of a crime?

Information on interests (Please select all applicable options)

Interaction Level Our Little Sisters require varying levels of interaction with their Big Sisters. In order to accurately and realistically assess your availability, please take transportation time, your lifestyle, family, social, academic and work obligations into consideration when answering the following question. I anticipate being able to meet my Little Sister

Additional Support In addition to being a Big Sister, I would also like to (please select all applicable options):

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I confirm that I can commit to being a Big Sister for no less than 12 months from the date of submission of this form

I have read, understand and accept the confidentiality statement.