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:--None--Female Male Other Pronouns:--None--He/Him She/Her They/Them Ze/Hir LGBTQIA+:--None--Yes No ✱ Race and Ethnicity:--None--White or Caucasian Black or African American Hispanic or Latino/a or Spanish Origin of any race Asian Native American or Alaska Native Hawaiian Native or Other Pacific Islander Two or More Races Other Middle Eastern Race and Ethnicity Unknown ✱ Birthday: Preferred Contact Method: --None--Email Phone ✱ 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: --None--Yes No Sometimes Kind: --None--Yes No Sometimes Shy: --None--Yes No Sometimes Outgoing: --None--Yes No Sometimes Smart: --None--Yes No Sometimes Opinionated: --None--Yes No Sometimes Creative: --None--Yes No Sometimes Detail Oriented: --None--Yes No Sometimes Flexible, Go with the Flow: --None--Yes No Sometimes Blunt, I tell it like it is: --None--Yes No Sometimes Bubbly, Always Smiling: --None--Yes No Sometimes How do you Deliver Feedback?: --None--I am nurturing, I comfort as I correct I am direct with my feedback I avoid giving feedback ✱ Why do you wish to mentor?: ✱ Music Teaching Experience: --None--Limited Fair High None 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):Acoustic Guitar Banjo Baritone Bass Bassoon Cello Clarinet Electric Guitar Flute French Horn Music Production Oboe Other Percussion Piano Saxophone Trombone Trumpet Ukulele Upright Bass Viola Violin Voice Woodwind ✱ Age Preference of Student:Elementary School Age Middle School Age High School Age No Preference ✱ Gender Preference?:--None--Male Female No Preference ✱ Maximum Minutes Willing to Travel:--None--15 minutes 15 - 30 minutes 30 - 1 hour No preference 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.
