Sherpa Mentor Questionnaire | Utah Sherpa Foundation

Personal Information

First Name

Last Name

Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Thank your for your interest in mentoring young adults who are transitioning out of foster care. Let us know more about you so we can make the most of your time!

Involvement

I am willing to be as involved as I need to be to help a youth be successful. He/she/they can call me as much as they need to

I am willing to help as much as possible, but my time is limited. I would prefer our contact be limited to scheduled sessions

I can offer a small amount of time here and there

I am not interested in mentoring individuals, but I have other skills or services I am willing to offer

see “Miscellaneous Offerings” section at the end of this questionnaire

I would rather just be a financial donor

I feel I am in a position to possibly offer a second family to my mentee. I might be willing to have them live with us temporarily if necessary and would be happy to include them on holidays or occasional dinners

I am not able to offer living space, but I would be willing to invite my mentee over occasionally for dinner or on holidays

I would like to maintain a more formal, business-like relationship with my mentee

I would like to see how things go before I answer this question

Tell us how much time you can commit or how much you would like to be involved

Let us know if you have specific preferences or reservations. Be honest. We want these relationships to be successful. Check all that apply

Race

Caucasian

Black

Asian

Hispanic

Any/All of the above

Gender

Male

Female

Any/All of the above

I am willing to work with LGBTQ+

I am willing to work with youth who have special needs and may require a little bit more coaching

I feel I can be most successful working with:

Career

What do you/did you do for your career?

Would you be willing to mentor a youth interested in your career/field?

Yes, this is my preference

I will work with kids interested in any career field

Is it possible a youth could intern with you or at your company?

Yes

Possibly, but I need to find out from others at my company

If you are not currently working, what do you feel are your skills or areas of interest?

Miscellaneous

Besides mentoring, tell us of any other ways you think you could be of benefit to this population of young adults? (Ie, trainings you would like to offer, material goods or services you could contribute, special knowledge in housing or job placements, life skills you excel at, budgeting expertise, etc)