This free survey is powered by QUESTIONPRO.COM
0%
Exit Survey »
 
 
POSI+IVI+Y Mentoring: Instructor Form 2013-2014


Greetings!

POSI+IVI+Y (positivity) Mentoring is a direct outreach student organization at the George Washington University. We pair one GW undergraduate with one middle-school child. We operate through an afterschool program that meets weekly at Francis-Stevens Education Campus (2425 N Street NW, DC).

Our Mission
POSI+IVI+Y (positivity) is committed to the self-development and self-realization of each child. That each child finds beauty in his/herself and everything around so much that s/he blooms past circumstances into success. Through mentoring, workshops, and activities, each child learns how to achieve dreams and live a fulfilled life. We work with boys and girls in grades 5-8.

Please note that the program meets weekly and begins in January 2014. Applications are due by January 2013.

Thank you for your interest. We appreciate you and look forward to meeting you!
______________________________________________________________________________

Agreement

I understand that by checking the box below I am agreeing to volunteer to instruct a workshop for POSI+IVI+Y Mentoring, if selected. I understand this is a voluntary basis only and does not require monetary costs. I agree to be in attendance at the designated workshop and be in compliance with the rules and regulations of POSI+IVI+Y Mentoring.
 
 
 
 
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Contact Phone : 
* Contact Email Address : 
 
 
 
* Occupation : 
* Affiliation : 
Company Website : 
 
 
 
* Affiliation with George Washington University
 
 
 
* I would like to instruct a(n):
 
Workshop
 
Active Activity
 
Community Service Activity

 
 
 
* Area(s) of interest:
 
Yoga
 
Dance
 
Modeling
 
Acting
 
Nutrition
 
Spa Day
 
Hair Care / Hygiene
 
Community Service
 
Arts & Crafts
 
Academics
 
Money Management
 
Self-Worth & Identity
 
Career Skills
 
Etiquette/Manners
 
Health/Beauty
 
Goal Setting
 
Other
 

 
 
 
* Describe your activity in detail (needed materials, activities, etc.).
   
 
 
 
* What qualifications make you the best instructor for your chosen workshop/activity?
   
 
 
 
* Mention your previous volunteering activities and your experience out of them
   
 
 
 
* Where did you hear about POSI+IVI+Y Mentoring?
   
 
POSI+IVI+Y Mentoring
[email protected] | www. PositivityMentoring.com
Survey Software Powered by QuestionPro Survey Software