VFDA Mentor Program Application We are delighted that you've chosen to be considered as a role model for funeral service professionals through the VFDA Volunteer Mentor Program. This is an opportunity for professionals like yourself to serve as a trusted and experienced advisor to other funeral service professionals. The VFDA mentors work to shape their mentees into future leaders, rather than simply good followers. The long-term impact of mentoring can offer life- and career-changing benefits to you both. We appreciate you taking the time to complete the following in-depth application for consideration.Contact InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Firm Name*Title*About YouCurrent Job Responsibilities*Brief Description of Career Background and Skills*Have you ever volunteered as a mentor before?*YesNoWhat experiences have you had as a mentor/positive role model to professionals?*What do you hope to accomplish as a VFDA Mentor?*How would you describe your personality?* Encouraging Serious Friendly and Outgoing Motivational Talkative Reserved Funny Quiet Laid Back What do you do in your free time?* Watch movies Listen to music Enjoy the outdoors Play sports Garden Read Enjoy a hobby Other What other things do you do in your free time?Please rank your confidence in your ability to mentor on items listed below. (Move strongest area to top of list; weakest area at the bottom).Financial Reports (understanding them to make business decisions)Team Building/Growing Team SuccessNetworking (creating meaningful industry connections)Managing ChangeTime ManagementMentor/Mentee MatchingPlease prioritize the following criteria you would prefer in a mentee (Move most preferred to top of list; least preferred to bottom of list).Same genderSame ethnicitySimilar backgroundSimilar personal interestsNo preferenceIs there anything else you want us to consider when matching you with a mentee?ReferencesReference #1 (no relatives please)Name First Last RelationshipPhoneEmail Reference #2 (no relatives please)Name First Last RelationshipPhoneEmail Final InformationHow did you learn about the VFDA Volunteer Mentor Program?Mentors in the VFDA Volunteer Mentor Program will be required to attend an intensive training session. Are you willing to attend?*YesNoThe information provided above is accurate and I understand that the VFDA will contact the references listed above.*YesNo