Become a MAS mentor
Miles Ahead Scholars Mentor Application
1.
First name
*
2.
Last Name
*
3.
Gender
*
Gender
*
Male
Female
4.
Mailing address, city, state, ZIP
*
5.
Phone number
*
6.
Email address
*
7.
Contact preference
*
Contact preference
*
Phone call
Text message
Email
8.
Highest level of educational attainment
*
Highest level of educational attainment
*
High school graduate
Some college
Associate and/or Bachelor's Degree
Bachelor's Degree
Master's Degree
Doctorate or professional degree
9.
Preference of day (select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
10.
Campus Selection #1
*
Campus Selection #1
*
Kashmere HS
Wheatley HS
Worthing HS
11.
Campus Selection #2
*
Campus Selection #2
*
Kashmere HS
Wheatley HS
Worthing HS
12.
I understand the need to maintain confidentiality regarding information that I might gain about students, families, and staff as I volunteer in the schools. I also understand that I am not to discuss individual student progress or behavior with anyone other than school personnel. I understand that if I violate school confidentiality rules, I may be asked to terminate my volunteer service.
*
Yes
13.
If I am selected to be a mentor I understand that my commitment involves spending a regularly scheduled time weekly at the assigned school with my mentee throughout one school year. As part of my participation in this program, I will communicate with the MAS program manager on a regular basis.
*
Yes
14.
Pursuant to Section 22.0835 of the Texas Education Code, I understand Houston ISD is required to conduct a criminal history review and reserves the right to receive and review any records maintained by any law enforcement agency.
*
Yes
15.
I hereby declare that all statements in this profile application are true and accurate.
*
Yes