Mentor Application – Hilma's Heart

Name: *

First

Last

Gender: *

Volunteer Type: *

New Volunteer
Returning Volunteer

Email: *

Confirm Email: *

Phone Number: *

Are you currently enrolled in school? *

Yes
No
Graduated

Name of School / University: *

Program / Major: *

Expected Graduation Month and Year: *

Have you volunteered with Baltimore City Schools or Baltimore County Schools before? *

Yes. Baltimore City Schools
Yes. Baltimore County Schools
Yes. Both
No

How many years of experience do you have working with or mentoring youth? *

Please share more about your experience working with or mentoring youth: *

Why are you interested in volunteering as a mentor? *

Affidavit of Criminal History

*In order to volunteer in Baltimore Public Schools, prospective volunteers must disclose any history of criminal violations if they occurred after the employee or volunteer reached the age of 18 years old. Violations that occurred prior to the age of 18 years old must be disclosed if they are public information.

Do you have any pending or past criminal violations? *

Please select which pending or past criminal violations: *

N/A
Guilty (a conviction)
Probation before Judgment (PBJ)
A court ruling of Not Criminally Responsible (NCR)
Been charged with a serious traffic violation that resulted in your arrest that ended in a disposition of Guilty conviction
Other

FINGERPRINTING

All volunteer candidates and persons with access to students are required to be fingerprinted for a criminal background check. (Hilma's Heart will cover the fees for your fingerprinting and criminal background check).

AVAILABILITY

Which semester(s) would you be available?

Fall
Spring
Fall and Spring

Please indicate your preferred method for meeting with your mentee: *

In-person (Baltimore City/County)
Virtually
I'm flexible and open to both in-person and virtual meetings

What days and times are you available to mentor? *

Would you consider serving as a Mentor for the Fall and Spring semesters to build a stronger connection with your mentee(s)?

Yes.
I will consider it and inform you at a later time.
Unfortunately, at this time I can only volunteer the Fall semester.
Unfortunately, at this time I can only volunteer the Spring semester.
Unsure

Please upload your resume: *

Click or drag a file to this area to upload.

I hereby certify that the aforementioned statements are true and correct to the best of my knowledge. I hereby grant Hilma's Heart Community Organization permission to verify such answers. I understand that any false statement on this application may be considered as sufficient cause for rejection of this application or for immediate suspension of the practical or volunteer experience.

Electronic Signature *

First

Last

Date *

Our Mission

Our Vision

Application

MENTOR

Affidavit of Criminal History

FINGERPRINTING

AVAILABILITY