Mentor Application | National Federation of the Blind

The National Federation of the Blind career mentoring program welcomes mentor applications from blind and low-vision professionals in Maryland, Mississippi, and Nebraska. As a mentor, not only will you have an opportunity to serve as a positive role model for a young blind person, but you can also improve your own skills, and expand and deepen your social, professional, and support networks.

Note: All fields with an asterisk (*) are required.

Mentor Information

First Name *

Last Name *

Street Address *

Street Address Line 2 - Opcional

City *

State/Province *

Postal Code *

Home Phone Number - Opcional

Cell Phone Number *

Work Phone Number - Opcional

Email *

Birth Date:*

Age *

Race/Ethnicity *

Gender Identity *

Highest Level of Education Completed *

Employer *

Job Title *

Years of Employment *

Describe your job responsibilities. *

Why did you choose a career in this field, and would you encourage others to pursue work in this field? *

How have you adjusted to living as a blind person, and to what factors do you attribute your success? *

What steps have you taken in your life to ensure that you have the skills and self-confidence to live a normal and independent life? *

Mentoring a young person is a big responsibility and can change the lives of both the mentor and the mentee. What do you hope to gain from the experience? *

What do you hope the mentee will gain from the relationship? *

What do you believe will be your greatest strengths as a mentor? *

Can you think of any reasons why you might have difficulty being a mentor? *

Describe any experience you have working with young adults, ages fourteen to twenty-two. *

Describe your interests and hobbies. *

Are you willing and able to commit to spending between eight and fifteen hours per month interacting with your mentee (in person, by phone, texting, or through social media)? *

Are you generally available to spend one weekend per quarter at a weekend mentor-mentee retreat? *

Can you commit to participation in a monthly conference call with other mentors? *

Do you use the following? (Check all that apply) *

Braille

White Cane

Guide Dog

Computer Large Print Software

Do you have any questions about the commitment involved in being a mentor? *

References

Reference No. 1:

First Name *

Last Name *

Phone Number *

Email *

Reference No. 2:

First Name *

Last Name *

Phone Number *

Email *

By checking this box, I certify that the information I provided above is correct to the best of my knowledge, and I authorize the NFB to conduct reference and background checks. *