RISE Reentry Mentor Program Application

For RISE Graduates
*Please note that refreshing or leaving this page will cancel your application.

Your responses will be used to make informed mentor / mentee matching decisions.

First Name
Last Name
Address Line 1
Postal Code
How do you prefer to be contacted?
Generally, I am available to meet:
Check all that apply
Background Questions:
Are you a graduate of RISE or Defy?
Please describe your living situation when you were in elementary school and where you grew up.
Describe your level of education and your favorite thing (hobby, subject, TV show, etc.) to study.
Do you have a history of substance abuse? If so, please explain.
Does faith play a role in your life? Please explain.
Describe your typical Saturday and/or how you spend your free time:
Why Mentoring?
What do you hope to gain in a mentoring relationship?
What do you have to share with a mentor?
Please evaluate yourself on a scale from 1 to 10; 10 being without question and 1 being not at all:
Please respond to the following questions with a YES or NO. If no, please explain.
Can you commit to communicating with a mentor for four hours each month, including meeting in-person at least once a month?
Are you willing to connect with the Mentor Coordinator for an overview of the mentor program and program expectations prior to being matched with a mentor?
Are you willing to communicate regularly and openly with the Mentor Coordinator and other program staff, provide monthly information about your mentor activities, and receive feedback during your participation in the mentoring program?
By signing below, I recognize that completion of this application does not guarantee I will be matched with a RISE mentor and declare that I have answered the above questions truthfully and to the best of my ability.
By typing your name here, you are confirming the above is true and accurate.