Tutor/Mentor Interview Form

We help you when you have no one else so that you are never alone.

Mentor Name

Date

Interviewer

D.O.B

Education (Please mention any Certifications and Degrees)

How did you hear about our organization/program?

What is your Background and Orientation to Mentoring?

Where are you originally located from?

Why do you want to be a mentor to foster youth?

What is your experience working with kids, either volunteer or paid?

What qualities/traits do you enjoy most about children?

What qualities/traits about children might be a challenge for you?

Think about a person, other than your parents, that provided you with guidance or support growing up. Who was that person and what were they like?

If you wanted to introduce yourself in just one sentence, what would it be?

What are you hoping to get out of the experience of working with a child in need of mentorship?

What do you feel might be challenging for you at first when trying to form a relationship with the youth?

What would you do, if after seeing them a few times, they were still quiet and reserved around you?

How would you respond to a child that asks you to “promise not to tell” something?

Personal Life

How do you like to spend your free time? What hobbies do you have?

Is there a history of substance abuse in your family?

Have you experienced any type of abuse? How have you dealt with this?

Do you currently, or have you ever, used/abused alcohol, drugs or tobacco?

How do you feel about working with a child who has been abused in some way?

Have you ever been accused of or convicted of abusing a child in any way? Or had any involvement with DCS(CPS)?

Are you experiencing any medical problems/issues or taking any medications at this time that we should know of in case of an emergency?

Have you ever been convicted of a DUI/DWI, How long ago? Is there anything that will show on your background check?

What day and time slots work best for you to provide consultation services?

What does being a mentor mean to you?

How committed are you at helping guide our youth?

What are some strategies you are able to apply when u feel that a mentor may be in a crisis or conflict?

What are values and why are they so important in a relationship?

What do u think are some self-esteem boosters?

Why is it critical to be a good communicator?

How do u know that u have been successful in communicating?

What do u think is more important to understand verbal or non verbal communication?

Why is listening essential?

Do you give careful thought to problems before speaking on them?