Mentor Questionnaire

The purpose of this questionnaire is to provide the Be A Mentor Program with a more detailed profile of you and your interests. This profile, along with your application and interview, are used by the Be A Mentor Program staff to best match you with a student. All elements of your profile are kept in the strictest of confidence. Thank you for taking the time to complete this questionnaire.

Name _Shavonne Floyd_______________________________________________________

Education

Tuskegee University- B.A English Liberal Arts (2005)

National University- Master’s degree Elementary Education (In Progress)

Work history (please include a brief description of responsibilities):

Title/Description/Date

Moving Forward Education- Program Director (2009-current)I oversee the high school programs that we run on eight school sites. We deal with social emotional issues as well as give academic support in the after school program.

Title/Description/Date

Georgia Washington Jr High School- 7th & 8th Grade English Teacher (2007-2009) Curriculum Design & Development Classroom Management Differentiated Instruction Student Center Learning Cooperative Learning Multicultural Awareness Student Motivation Student Assessment

Title/Description/Date

Children’s World Learning Center- Interim Director (2005-2006)

Responsible for the supervision of a staff of twenty people within the business. Responsible for the recruitment, hiring and training of employees. Managed the needs/requirements of customer accounts with extensive follow-up procedures. Performed market research surveys amongst client base to seek feedback on sales techniques,

follow-up methods and quality of after sales service. Demonstrate record of high performance standers, including attention to schedules, deadlines,

budgets and quality work. Demonstrate competence and poise in professional and social settings.

Have you ever worked with young people before? If so, please describe:

I have been working with students from k-12th grade for over ten years now. It is my passion to continue to

make an impact in the community through youth development. I have been an educator, mentor as well as a

tutor for a throughout those ten years. Everyday I look forward to helping shape the future of our young

ones.

If you have participated in a mentoring program before, what agency, city, state, and when

What job skills can you share with a youth?

1. Management Skills

2. Computer Skills

3. Receptionist Skills

4. Sales

5. Time management

6. Organizational Skills

7. etc.

What hobbies can you share with a youth?

Dance

Can you commit to spending a minimum of 4-6 hours per month for one year with a student? Yes_______

Do you anticipate any changes in the next year that may interfere with your ability to meet your

commitment as a mentor such as marriage, childbirth, new job, moving? If yes, please explain:

No.

Are you bilingual? If so, what languages?

_No___________________________________________________

Please provide any additional information that you feel would help us match you with a youth:

Please fax or mail back to Meilan Liu at:

Be A Mentor Program1260 B Street, Suite 375

Hayward, CA 94541Fax: 1866-498-3620

Phone: 510-795-6488 x 177Email: mliu@beamentor.org