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Mentor Application

What is a Mentor?

A mentor is someone who can be a friend as well as a positive role model for a cadet. They will offer advice, listen, and guide the cadet to make the right choices for their life. The mentor relationship can be the most important contact the cadet may have while attending our program and continue after their graduation.

Mentors must be 21 years of age or older, be of the same gender of the cadet and live in or near the same area.

What is a mentor?

Residential Phase

All Candidates will have to submit a mentor application as part of their admissions packet.

Mentors must complete a mentor application and submit two references. Mentors will also complete an interview questionnaire as part of the screening process. Thunderbird Challenge program will conduct a background check on all Mentors. Mentors will attend a mandatory mentor training. If the mentor is not able to attend the on-site training, a training packet can be mailed to the mentor as a last resort.

When all of the requirements have been met, the mentor and cadet will be officially matched and the mentor/cadet relationship will begin. This relationship will begin during the residential phase and continues for one year after graduation.

Mentors and cadets are required to spend 8 hours of one to one time with each other before graduation. This can be done during mentor and/or home passes. Mentor passes are not mandatory; mentors will need to make sure to meet with their cadet during their home passes if they are unable to participate in our scheduled mentor passes.

Residential Phase

Post Residential

After graduation, the graduate will enter the post residential phase of the program. This is where the mentor's involvement is crucial. The Mentor and graduate will submit monthly progress reports showing the placement of the graduate and the monthly contacts between Mentor and graduate (a minimum of 4 times or 4 hours per month). These reports are required and must be submitted by the 1st of each month in order for the graduate to remain in good standing with our program.

Post Residential

Apply to be a Mentor

"*" indicates required fields

1Mentor Information

2Questionnaire

3References

Are you applying on behalf of a specific cadet?*

Yes

Student's Name

First Last Suffix

Mentor's Full Name*

First Middle Last

Date of Birth*

Month

Day

Year

Gender*

Male

Female

Social Security Number*

Race/Ethnicity*

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Marital Status*

Drivers License Number*

State*

State

Do you have Auto Insurance?*

Yes

Employment*

Full-time

Part-time

Occupation*

Employer*

Email Address*

Home Phone*

Cell Phone

Work Phone

Pager

Fax #

Mailing Address*

Please include box, house, apartment, and/or lot number.

Street Address Address Line 2 City State ZIP Code

Confirmation

Consent to a Background Check and Authorization for Release of Information and Records*

This information is true and accurate to the best of my knowledge.

In accordance with the Privacy Act of 1974 or other applicable law, I hereby authorize and consent to the release of information and records bearing on my personal history, arrest, and convictions, if any, to special agents of the Department of Defense or Oklahoma Military Department based on the information I provided above. Disclosure of this information is voluntary; however, failure to provide the information may result in refusal of acceptance as a mentor. Upon request, a copy of this signed statement may be furnished to the school, criminal justice agency, or other person furnishing such information or record. This information will be used for the purpose of determining my eligibility as a participant with the Thunderbird Challenge Program, and will be held in the utmost confidence.

Mentor Signature*

Mentor Signature Date

Month

Day

Year

CAPTCHA

Questionnaire

1. How long have you known the cadet?

2.a) Are you related to the Cadet

Yes

2.b) If yes in what way?

3. Do you foresee any problems with the cadet that we may be able to assist you with?*

4. a) What has the cadet done that has impressed you the most?*

4. b) Disappointed you the most?*

5. As you already know, we are conducting a criminal background check on all prospective mentors. Do you have any concerns about this process*

6. How may times have you moved in the past 5 years?*

7. Have you ever sought counseling/therapy or treatment for any reason?*

8. Explain your present use of alcohol or any other drugs.*

9. Explain your past use of alcohol or any other drugs.*

10. Have you ever been a victim of a crime? Explain.*

11. What attitudes and beliefs are of special importance to you?*

12. Do you have any concerns about how mentoring will affect your personal/family life?*

13. What could the cadet do that would make you give up in the mentoring relationship?*

14. How would you interact with the family?*

15. What would you expect from the Mentoring and Post Residential Department?*

16. What do you know about the ChalleNGe program?*

References (Non-Family)

NOTE: If you do not have references prepared at this time, you may submit at a later date.

Upload Mentor Reference Response Forms

Please upload both Mentor Reference Response forms. Two (2) NON-FAMILY references are required.

SCANNING TIP: Use an app on your smartphone that converts photos into PDFs.

Download the Mentor Reference Response form.

Drop files here or

Max. file size: 128 MB, Max. files: 2.

This field is for validation purposes and should be left unchanged.

SCANNING TIPS

You can download a scanning app on your smartphone that will convert document photos to PDFs.

More Scanning Tips

Questions?

If you have questions regarding the Mentor/Cadet requirements or need assistance in completing any of these forms, please email Wendi Spurlock or call 918-824-4853 . Our offices are open 7:30 AM - 4:00 PM Monday - Friday.

Printable Forms

Mentor Application

Mentor References

Handouts

Mentor Summary

Training Powerpoint (PDF)

Get In Touch!

Phone

Toll-Free:
877-295-0932

Front Office:
918-824-4850

Fax:
918-824-4858

24-hour Operations phone:
918-830-6140

Address

Thunderbird Challenge Program
501 South Elliott Street
Pryor Creek, OK 74361

Office Hours

Monday–Friday: 7:30am–4pm
Saturday–Sunday: Closed

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Great great program❤️

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So proud of you Charlie Conn Brandon Conn

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