Mentor Application

If you’re interested in becoming a mentor with the Women In The Making program, please complete the online application below. Someone will contact you within a few days following reviewing your application.

Dear Potential Mentor for Women In The Making,

Below you’ll find an application to be a mentor/role model or volunteer for the Women In The Making mentoring program. Our target group will be young ladies between the ages of 10 to 18 years old (or in 5th through 12th grades). Becoming a mentor/role model for the Women In The Making program will require a commitment of at least 4-6 hours per month.

If interested, please complete the form and click submit. You may also mail your application to Attn: Rev. Sherrisse Bryant, Greater Mt. Zion A.M.E. Church, 1045 16th Street South, St. Petersburg, Florida 33705. (Click here to download a hard copy of the application)

Once your application has been received, you will be notified via email regarding where you will need to go in order to complete your Level 2 background screening. Stay tuned as additional information will be provided soon after we received your application.

Sincerely,

Reverend Dr. Sherrisse Bryant, Co-Chair

Mentor Application

Mentor Information

Name *

First

Last

Date Of Birth

Name For ID Badge *

Email Address *

Phone *

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

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Employer

Work Address

Address Line 1

Address Line 2

City

State

Zip Code

Experience & Skills

Please enter any experience or skills you have that may help enrich the lives of potential mentees.

All role model applicants are required to complete a FDLE background screening.

The Cross and Anvil Human Services, Inc. offers programs and maintains inclusion policies that do not discriminate on the basis of race, color, religion, sex, age, marital status, national origin, disability, or sexual orientation. Our organization collects information concerning race, color, sex, and national origin to facilitate compliance with Titles VI and IX of the U.S. Civil Rights Act.

Supported by: Cross & Anvil Human Services Inc. 1201 7th Avenue South • St. Petersburg, Florida 33705 • Phone: (727) 821-0285 • www.womeninthemaking.org

Background Check

Mentor Application

Mentor Application

Mentor Information

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