Forms and Sample Documents

The following documents can be adapted to the needs of your local program.

Sample Mentor Recruiting Memos

Sample 1

To: All Employees
From: Mary Davis, Human Resources Coordinator, Ace Software
Date: March 31, 2004
Subject: Opportunity to Participate in E-mentoring Project

We are seeking company employees who would be interested in offering academic support and friendship via e-mail to students at South High School. The students, age 14-15, have mild to moderate disabilities, and all have the potential for productive employment as adults. This e-mentoring project is designed to help them develop some of the employment-related skills they will need in order to pursue their dreams.

E-mentoring has been taking hold at other companies throughout the country and having a positive impact on students in terms of their grades, self-esteem, and attitudes. E-mentors from Ace Software will be matched with students for weekly e-mail exchanges and two school-sponsored gatherings.

E-mentoring is a fun way for employees to make a positive difference in students' lives. If you are interested in becoming an e-mentor or would like further information, please contact Mary Davis at <mdavis@email.com>.

Sample 2

To: Employees of XYZ Company
From: Mary Davis, Human Resources Coordinator
Date: March 25, 2004
Re: New Electronic Mentoring Project

Thank you for your interest in the Connecting to Success e-mentoring project. The following is some addition information about the goals of project, plus an application form. Please fill out the form and return it to: Mary Davis, Human Resources Coordinator, Room E399, mdavisson@email.com

Through this e-mentoring project, we seek to improve outcomes for youth with disabilities at South High School by:

• Connecting youth to positive role models in the world of work who understand their special needs
• Building motivation for academic learning
• Enhancing self-esteem
• Improving skills in writing, computers, and social interaction

What the project will ask of e-mentors is:

• An interest in helping a student learn and grow
• Openness to learning about disabilities
• A willingness to support the goals of the project
• A one-year commitment to participate in:
  • 3 hours of initial orientation and training
  • 30-45 minutes per week online
  • 2-3 face-to-face meetings per year with students

Sample Mentor Application Form Content

The purpose of this application is to help to match you with a student who has similar interests and aspirations.

Name:
Division:
Mail Station:
Building:
Telephone:
Languages (other than English, including American Sign Language):
Gender:
E -mail address:

Please describe your education.

Please describe your employment background, including your current position.

Please describe your volunteer experience.

Please describe any experience that you have in working with young people.

Have you had any experiences that would help you to understand the needs of youth with disabilities? If so, please describe briefly.

What are your hobbies?

What were your favorite subjects in school?

Do you have any special skills or talents that you would like to share with a young person?

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