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About Us
Our Mission
National Council
The Team
Our Programs
Love Box
>
Program
Apply to Volunteer
Love Box Admin Area
Family Referrals
Dare to Dream
>
Program
Apply to Volunteer
Resources
D2D Admin Area
Youth/Dare to Dream Referrals
Stories
2020 IMPACT
Get Involved
Give
>
Donate
Monthly Sponsorship
Employer Gift Matching
Become an Angel Ally
Partnerships
>
Corporate Partnerships
Faith Partnerships
Other Partnerships
Email Newsletter
Internships
Locations
Events
2021 Golf Tournament
Host An Event
Contact
Give Now
Give Monthly
WANT TO BE A PART OF THE CHANGE?
Dare to Dream Mentor
application
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Area(s) willing to serve (Check all that apply):
*
Atlanta
Decatur
Smyrna
Powder Springs
Mableton
Marietta
East Cobb
Kennesaw
Acworth
Canton
Sandy Springs
Vinings
Roswell
Woodstock
Alpharetta
Johns Creek
Suwanee
Dunwoody
Peachtree Corners
Norcross
Duluth
Would you be willing to travel up to 30 minutes?
*
Email
*
Phone Number
*
Date of birth
*
Gender
*
Male
Female
Prefer not to answer
Have you ever served as a mentor before?
*
Yes
No
What age range would you like to mentor?
*
11 - 14 (Dare to Dream Jr.)
15 - 22 (Dare to Dream)
Have you volunteered in other youth-serving organizations? If yes, when and reason for leaving?
*
Ethnicity
*
Hispanic/Latinx
Native American/Indigenous
Asian/Native Hawaiian
Black/African American
Multiracial
White/Caucasian
Non-disclosed/unknown
Bilingual?
*
Yes
No
If yes, please specify which languages you speak.
*
Education
*
Some High School
Completed High School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
PhD
Employment
*
Unemployed
Part-time
Full-time
Self-employed
Employer/School Name
*
Occupation
*
Bio (background, life experiences, interests)
*
Would you be willing to complete a background check (and if required by agency, CPR/First Aid Certification, fingerprinting, & TB testing)?
*
Yes
No
Would you be willing to provide references?
*
Yes
No
SKILLS, TRAINING, EXPERIENCE (Please check all that apply):
*
Spanish-speaking
Office/Clerical/Computer
Musical Ability
Education
Military Background
Math/Science
Photography
Sports/Athletic
Media/Newspaper
Fundraising
Newsletter/Written Communication
Public Speaking
Business/Banking
Medical/Medicine
Sales/Marketing
Arts/Drama/Dance
Clergy/Ministry
Law Enforcement/Judicial
Counseling/Social Work
Legal
Nutrition
Other skills, training and talents
Submit
IF YOU ARE UNABLE TO SUBMIT THIS FORM, EMAIL THE REFERRAL TO
info@atlantaangels.org.