CTeen Mentoring - Chabad of Bradenton

CHABAD HEBREW SCHOOL OF THE ARTS – TEEN MENTOR APPLICATION & AGREEMENT FORM

Thank you for your interest in becoming a Teen Mentor at Chabad Hebrew School of the Arts! Our Teen Mentors play a vital role in supporting our students with warmth, professionalism, and responsibility.
Teen Mentoring takes place on Sundays, from 9:50 am - 11:50 am.
Click here to see the CHS Calendar.
Please complete the form below:

Basic Information
Full Name:*
First Name Last Name
Date of Birth:*

Month Day Year
Age:*
Gender:*

MaleFemale
Phone Number (Teen):*

Area Code Phone Number
Email (if applicable):
Parent/Guardian Name:*
First Name Last Name
Parent Contact Number:*
Jewish Learning Background
Hebrew Reading Proficiency:*

NoneBeginnerIntermediateAdvancedFluent
Previous Jewish Education (if any):
Why Would You Like to Be a Mentor?
Please share in 1-3 sentences why you are interested in being a Teen Mentor at Hebrew School:*
Anything We Should Know?
Specify here: (e.g., allergies, accommodations, preferences, etc.)
References

Please provide two references (non-family members) who know you well and can speak to your character and responsibility.
Reference 1 - Full Name:*
First Name Last Name
Reference 1 - Relationship to you:*
Reference 1 - Phone Number:*
Refence 1 - E-mail*
Reference 2 - Relationship to you:*
Reference 2 - Full Name:*
First Name Last Name
Reference 2 - Phone Number:*
Refence 2 - E-mail*
Permissions & Conduct Agreement

By signing below, I agree to the following terms as a Teen Mentor at Chabad Hebrew School of the Arts:
- I feel capable and responsible enough to be a mentor to younger children.
- I agree to maintain professionalism, kindness, and respect in my interactions with students, staff, and peers.
- I understand there is absolutely no physical contact permitted with students.
- I give permission for photos and videos of me to be taken and used in school-related publications and marketing.
- I understand that cell phones are not permitted during Hebrew School hours.
- I understand that any behavior or object that distracts me from my role will result in termination of my position as a Teen Mentor.
I have read and understand the expectations above.*
Teen Signature: Date
I have read and understand the expectations above.*
Parent/Guardian Signature: Date
Should be Empty:

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Basic Information

Jewish Learning Background

Why Would You Like to Be a Mentor?

Permissions & Conduct Agreement