Volunteer Mentor Application

Identifying Information

Background Information

Career/Education Information

Mentor Information

Please indicate how comfortable you would be talking to your mentee about the following subjects:

Please indicate how comfortable you would be in handling the following potential problems:


Please list 3 references. Include at least one family member, one personal friend, and, if applicable, one work reference.

Reference One

Reference Two

Reference Three

Volunteer Mentor Policies and Procedures Acknowledgement

As a volunteer mentor with the Montgomery County Ohio College Promise Program, I agree that I will adhere to the following standards: