Alumni Mentoring Survey A A A www.viscardicenter.org > Alumni Mentoring Survey Share on Facebook Click to share on Twitter Click to share on Google+ Click to share on LinkedIN Name(Required) First Last Phone(Required)Email(Required) Are you currently employed? Yes No If yes, please note your current employer, title, and a brief description of your role and or tasks.Are you currently attending college or a vocational program? Yes No If yes, note where, the major/focus and your intended graduation date.When would you like to begin mentoring? Please indicate how much time you would be able to commit to a mentee: A session a week A session a month Would you be interested in mentoring? An individual A small group of individuals Which times and days work best for you?Monday Early morning Morning Afternoon Evening Tuesday Early morning Morning Afternoon Evening Wednesday Early morning Morning Afternoon Evening Thursday Early morning Morning Afternoon Evening Friday Early morning Morning Afternoon Evening Weekend Early morning Morning Afternoon Evening What is your preferred method/methods of communication? [Please check all that apply] Email Phone Text Video call In-person Which areas do you feel you are best suited to provide guidance on? [Please check all that apply] Accessible transportation Adaptive sports options Advocacy College-related topics, i.e., applying to college, transitioning to college, campus disability services, asking for accommodations, socializing on campus, etc. Disability benefits Employment-related topics, i.e., resume development, applying for/interviewing for a job, asking for accommodations, disclosing a disability, interacting with co-workers, etc. Equipment/Assistive technology Financial literacy, i.e., balancing a checkbook, opening a bank account, etc. Health, i.e., medical referrals/specialists, insurance, etc. Hiring/Directing personal care assistants Social/recreational activities/entertainment Travel, i.e., accessible accommodations Other What are your desired outcomes of becoming a mentor? [Please check all that apply] Increase my involvement with Viscardi and its alumni Develop additional leadership skills Impart knowledge and expertise Gain a personal sense of satisfaction from knowing I have helped someone Act as a role model Do you commit to keeping regular appointments with your mentee and providing 24-hours’ notice should you need to reschedule? Yes No Do you commit to being prepared for each mentee meeting, as appropriate? Yes No Is there anything else you would like to share?