Mentors

Our program needs YOU.

We are constantly welcoming mentors into our program. The commitment is small but the impact is great. We ask mentors to play chess with a child at any one of our locations for one hour per week. This means you! You are welcome to join us! Just show up, play chess, and talk to a child about life. That’s it! “

Mentor Application

Thank you for applying to become a mentor! The questions below will help us get to know you, how you can best contribute to this mentoring program, and who might be the best mentee match for you.

Personal Information

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Mobile Phone *

Employer *

Email Address *

Gender *

Ethnicity *

Year of Birth *

Mentoring Interest

Please write a brief statement on why you have chosen to participate in this mentoring program. *

What would you like to get out of being a mentor? *

What do you feel are the strengths you can bring to this program? *

Which individual has served as a role model for you? Why?? *

Have you had experience working with children (paid or volunteer)? If yes, please explain. *

Do you prefer working with a: *

Do you prefer working with an outgoing child? *

Do you prefer working with a quiet reserved child? *

Do you prefer working with a child from a specific racial/ethnic group? *

Please specify.

References

Please list four references (please include at least one family member, one personal friend, and one work reference.

Reference One

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Reference Two

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Reference Three

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Reference Four

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Agreement

Please read and accept the two statements below.

I understand that it is important to keep my commitment as a mentor and I agree to make the commitment required of the program I sign up for. (Please contact Newark Chess CLub for information about the commitment required for this program. *I Agree

I understand that I will be required to 1) complete the mentor program orientation, 2) a Mentor 101 training session, and 3) at least one 200-level mentor training session during the year. *I Agree

Do you give consent to the use of any photographs of yourself for promotional purposes? *

In completing this application to be a volunteer, I understand that the Newark Chess Club may require criminal background checks for the position of mentor for which I am applying. This check may be done on me if I sign below. If I fail to sign, it may be grounds for declining me as a mentor. I also agree to abide by the rules and regulations of the program and fully discharge the Newark Chess Club from liability and claims resulting from my volunteerism. I certify to the best of my ability that the information provided on this application is true and accurate. I also understand that misinformation knowingly provided here is grounds for dismissal.Agreed

First Name *

Last Name *

Date *

Mentors

Our program needs YOU.

Mentor Application

Personal Information

Mentoring Interest

References

Please list four references (please include at least one family member, one personal friend, and one work reference.

Reference One

Reference Two

Reference Three

Reference Four

Agreement

Please read and accept the two statements below.

Educators

Instructors

Mentors

Parents

Contact Us

Browse

Join

Shop

Sign up for email updates

Thank you for joining our email list! We'll be in touch with exciting news from Newark Chess Club!