Please complete and submit this application by September 23rd, 2024. After your application is submitted, the SLR-MP Coordinator will work to find you a Mentor/Mentee match. Your participation will be confirmed if/when a match is made. Several factors are considered when making Mentor-Mentee matches and we cannot guarantee that all applicants will be matched for the cycle in which they apply. Thank you for your interest in the SLR-MP!

GROUP MEETING DATES (held online):
all meetings are optional, but encouraged.

Kick-off meeting; All participants

Mentor’s Meeting; Mentee’s Meeting (if needed)

General Information

Today's Date *

YYYY

Name *

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Cell Phone *

(###)

###

####

What is your mode of transportation? *

Own Car

I rely solely on public transportation

How would you like to meet with your mentee? *

In person only

Online only

Both in person and online

No preference

What are your location and setting preferences for meeting with your Mentee? *

Schedule/Availability? *

Background/Experience

How long have you been a Sign Language Interpreter? *

Did you attend and complete an Interpreter Education Program (IEP)? *

Yes

What program did you attend?

What credential did you receive?

Certificate

2 Year Degree

4 Year Degree

What was the date of your IEP completion?

YYYY

How often do you interpret? *

Briefly describe where you do most of your interpreting work. *

Please list any interpreting certifications you hold.

Have you been a MENTOR before? *

Yes

Which best describes the structure of your previous MENTOR experience.

Given the opportunity, what would you have changed to improve this MENTOR experience?

What training have you had as a MENTOR? *

Have you been a MENTEE before? *

Yes

Which best describes the structure of your previous MENTEE experience.

Given the opportunity, what would you have changed to improve this MENTEE experience?

Skills, Goals, and Expectations

What is your approach/philosophy toward Mentorship? *

As a MENTOR, what strategies and activities will you use with Mentees? *

What are your expectations of a Mentee? *

What are some limitations for you as a Mentor? *

Please share with the SLR-MP Coordinator any other information that may be helpful in matching you with a Mentee and supporting your Mentorship experience.

Have you applied to this program before? Please indicate when.

Thank you! Your application has been received.

Sign Language Resources, Inc.

Nationwide Interpreting Services

Offices located in:
New York, NY
Hudson Valley, NY
Denver, CO

(888) 964-5553
SLR@SLRconnect.com