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The following individual has applied to be a volunteer mentor with Tarheel ChalleNGe Academy. He/she is being considered for a match in a one-to-one relationship with one of our cadets. The information received by you is kept in strict confidence.
Academy
*
New London
Salemburg
Unknown
Potential Mentor Name
*
How long have you known the applicant?
*
In what capacity?
*
Does the applicant work well with others?
*
Yes
No
Does the applicant have a good home relationship?
*
Yes
No
Does he/she have a tendency to over-commit or get too involved?
*
Yes
No
Please rate the volunteer on the questions below:
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Poor
Average
Excellent
Compassion for those in need
Poor
Average
Excellent
Concern for young people
Poor
Average
Excellent
Maturity and stability
Poor
Average
Excellent
Ability to respect others with differing views and values from their own
Poor
Average
Excellent
Skillfulness to express an opinion in the face of opposition
Poor
Average
Excellent
Responsibility to use confidential information appropriately
Poor
Average
Excellent
Ability to remain objective in a crisis or conflict situation
Poor
Average
Excellent
Capability to problem solve and reach decisions independently
Poor
Average
Excellent
Openness to learning
Poor
Average
Excellent
Verbal communication skills
Poor
Average
Excellent
Written communication skills
Poor
Average
Excellent
Proficiency to carry out assignments in due time
Poor
Average
Excellent
Do you have any concerns about the suitability of the application or their ability to work with our cadets?
Name
*
Reference Email Address
*
Phone Number
*
Date
*
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