KING - Music Mentor Application

Thank you for your interest in becoming a mentor with KING Mentoring, where mentoring has a melody!

Please fill out ALL of the following information. All information is kept in a secure database and is used in the matching process.

Please note: all fields with an ✱ are required.

✱ First Name
✱ Last Name
Preferred Name:
✱ Gender:

Pronouns:

LGBTQIA+:

✱ Race and Ethnicity:

✱ Birthday:
Preferred Contact Method:

✱ Email
✱ Phone
✱ Street
✱ City
✱ State/Province
✱ Zip
Under "Preferred Language" please list your main language first and afterward any other languages you speak, conversationaly fluently or better.

Preferred Language:
Speak Spanish:

Please provide where you currently work and the job title you currently hold.

Company
Occupation:
Please share your interests or hobbies (what you like to do in your spare time), as well as describing yourself in your own words.

Interests and Hobbies:
Description
Funny:

Kind:

Shy:

Outgoing:

Smart:

Opinionated:

Creative:

Detail Oriented:

Flexible, Go with the Flow:

Blunt, I tell it like it is:

Bubbly, Always Smiling:

How do you Deliver Feedback?:

✱ Why do you wish to mentor?:
✱ Music Teaching Experience:

Please select any instruments you are able to teach. In order to teach an instrument you only have to be ahead of your student by a few lessons.
To select multiple instruments hold down the command or window key while selecting.

✱ Instrument(s):

✱ Age Preference of Student:

✱ Gender Preference?:

✱ Maximum Minutes Willing to Travel:

How did you learn about this opportunity:

If you are not brought to a thank you page, the form did NOT submit. Please check that ALL required fields are filled out.