PAWS Mentor Question Title * 1. About you Name Address Address 2 City State Zip Code Email Address Phone Number Question Title * 2. Employment Place of Employment Occupation Work Address (City Only) Question Title * 3. Do you have foreign language skills? Yes No Question Title * 4. If Yes, what language? Question Title * 5. In general, why do you want to be a mentor with the PAWS program? Are you looking to just give back to your community? Do you want to work with a specific population? Tell us anything that may help us pair you with the right child. Question Title * 6. Mentoring sessions will occur at Okmulgee Primary from 4:00pm to 5:00pm. Monday - Thursday and will be with first, second, and third graders. Mentors are asked to attend one time per week. Which day(s) of the week do you expect that you might be available? (Our PAWS liaison will confirm this time with you at a later date, this just aids our planning.) Mondays at 4:30pm Tuesdays at 4:30pm Wednesdays at 4:30pm Thursdays at 4:30pm Other (please specify) Question Title * 7. All volunteers at Okmulgee Public Schools and the YMCA, must have a background check. This includes the YMCA's independent background check, OSBI's criminal offender, sex offender, and violent offender checks, and fingerprinting. You consent is needed. Our PAWS liaison will contact directly for personal information (birthday, SSN) to initiate these checks (These will be paid by OEF.) Yes, I consent No, I do not consent. Done