Volunteer — Eureka Ministry,Inc.

Volunteer

FOR

M.E.R.G.E.

Mentor

Application

Are you interested in tutoring or mentoring MERGE participants who are seeking to earn a trade school diploma from Forsyth Technical Community College? If so, please read about eligibility and fill out the application below.

Please note that you may not MENTOR if you:

Live more than a 30 minute drive from the Winston Salem/Forsyth County area.
Have been convicted of a sex offense, child abuse or abuse of anyone.
Have a felony less than 3 years old.

If you are eligible

we would love to have you on the team.

Please submit an application below.

MENTOR APPLICATION

First Name

Last Name

Email Address

Date

MM

DD

YYYY

Address

Phone

(###)

###

####

Gender (Male or Female)

Tell us about any prior experience you've had as a mentor.

Briefly describe your work or professional experience.

Have you ever worked with ex-offenders? In what capacity? Please describe.

Are you willing to commit to mentoring for 6-12 months?

What special skills, talents or qualities do you have?

Do you have a criminal background? If so, please provide a copy of it.

Please provide the names of 2 references

Please share with us your reasons for wanting to mentor ex-offenders.

Please note that you may not TUTOR if you:

Live more than a 30 minute drive from the Winston Salem/Forsyth County area.
Do not have a 4 year degree.
Have been convicted of a sex offense, child abuse or abuse of anyone.
Have a felony less than 3 years old.

TUTOR

Application

TUTOR APPLICATION

First Name

Last Name

Address

Email

Date

MM

DD

YYYY

Phone

(###)

###

####

Gender Male or female

If you've tutored before please tell us about that.

Please list any degrees and the institutions where you attended

What subject areas are you most comfortable with?

Have you ever worked with ex-offenders? If so tell us about it.

Are you able to commit to 6 months to a year as a tutor?

Please provide the names and contact information for 2 references.

Do you have a criminal background? If so, please provide a copy of it.

Please share with us below your reasons for wanting to tutor ex-offenders.