Mentor Application

Mentor Application

Interested in being a Mentor for the Power of One Program? Apply online using the simple form below, or download printable versions of the forms to mail in. You may pay your $350 deposit online or by check.

Click here to pay for your $350 deposit online.

To participate in the Power of One Program you will also need to sign a liability waiver and agree to the program’s guidelines.

Scroll down to complete the online application.

Application Form for POWER OF ONE

* indicates required fields.

Mentor Information

Choose Your Program*

Your Name (First and Last)*

Nickname (Preferred Name)

Address*

Phone Number*

Student Email*

Birth Date (Month/Day/Year)*

Current Age*

Nationality*

Gender*

About the Mentor

Work History*

Education History*

Briefly Describe Any Experience in Volunteer or Community Service Work*

Special Interests/Hobbies/Skills/Training (List Degrees/Certificates/Training Earned)*

Native Language

Other Languages Spoken (are you fluent?)

Level of Proficiency in English

How long have you spoken/studied English?

Mentor Questionnaire

Do you have special health considerations (allergies, illness, disability) we should know of?

This information is imperative in ensuring your safety and will remain confidential.*

Please tell us about your family and home life.*

Please tell us about your work life.*

Briefly describe any travel experience you have.*

What do you hope to derive from the Power of One experience?*

What do you feel you, personally, can offer to this year's Power of One program?*

Are there any special skills that you possess which might be used on the program (beading, painting, singing, acting, photography, etc.)

We encourage you to bring your passions with you on this trip!*

Is there any other information you wish to share, or do you have any questions about the program?

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Download Forms

Mentor Application

Mentor Questionnaire

Please return your application to the address below with a $350 deposit.

Your deposit is refundable if the applicant is not selected.

Blue Star of Hope, Power of One Project
Juelle Wilkins
Executive Director
P.O. Box 476, Crestone, CO 81131 USA

719-588-0057
bshpowerofone@yahoo.com

Christian Wilkins
719-331-2499