W o r th y Q u e s tio n s “Asking Questions Worthy of the Person You Can Become” Mentor Application Please complete and return at your earliest convenience. Interfaith Campus Ministries, 1315 Beall Avenue, Wooster, OH 44691 Name Work Phone: Mailing Address Home Phone: Email: Please list any relevant involvement in the College of Wooster community: Please respond briefly to the following questions: 1. Describe an experience that was significant in shaping your current life. 2. What two important values impact your process of making “big decisions”? 3. What do you get excited about in life? What do you really love to do? Why? 4. Describe your approach to developing your spirit, spiritual self, and/or spiritual life… be it religious or not. (Worthy Questions is not based in any one faith tradition.) See Reverse>> The Office of Interfaith Campus Ministries • [email protected] • 330- 287-3020 As you consider a potential student “Quester” for you, please respond to the following questions: 1. What do you feel makes for a meaningful mentoring relationship? What qualities would you like to see in a student Quester? 2. What are some topics and questions you would like to explore in a Mentor-Quester relationship? 3. What kinds of activities are you interested in sharing with a Quester? Background Statement (required by College) Have you ever been convicted of an infraction or a crime other than a minor traffic violation, or been found liable for having committed sexual misconduct, sexual abuse or other offense of a sexual or violent nature? Circle One: Yes No If ‘yes,’ please explain: “I have read the mentor expectations and also understand that the completed Authorization of Background Check will be required before I can serve as a mentor, even if I am a former Worthy Questions mentor.” Name Date Additionally, please: q Review the Expectations of Mentors attached. q Sign and return the Authorization of Background Check form. Please submit completed form online or mail to: College of Wooster Office of Interfaith Campus Ministries 1315 Beall Avenue Wooster, OH 44691 The Office of Interfaith Campus Ministries • [email protected] • 330- 287-3020
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