Matching Considerations Form – ISM

Matching Considerations - ISM

Name

Transportation (car/bus list bus routes) (leaving from home or school)

Distance willing to travel to a school (one-way)

Availability (be as specific as possible, take into consideration transportation time)

Potential Match End Date (April/June)

Circle the description below that best fits your activity level.

Do you prefer indoor or outdoor activities?

List some activities you would like to do with a mentee

Description of personality (ex. quiet, excited, talkative, thoughtful etc.)

Identify characteristics of a mentee for your match (age group, personality, activity level, strengths, and needs)

What characteristics in a mentee would discourage you (age group, personality, exceptionality)?

What age group would you be comfortable mentoring?

Why do you feel that age group would be best?

Are you open to being matched with another gender?