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LARY Buddy Application

If you would like to apply to be a LARY Buddy mentor, please fill in each field below and click the submit button once. If you prefer to complete a paper version of this form, please go here.

*Please note that to become a LARY Buddy mentor you will also be asked to complete a Background Check form which will be sent to you via campus mail as soon as we receive your application (either electronically or in hard copy). Once you fill out the Background Check form, you must return it to the VCSC (stop into Raymond House, or campus mail your application to: VCSC, Raymond House) before your application will be considered for acceptance into the LARY Buddy Program.
Thanks for taking the time to apply!

 

The following will be reviewed by the coordinator of the LARY Buddy Program:

General Information

Name:
Lawrence ID #:
Campus Address:
Preferred Phone # :
Year at Lawrence: Freshman Sophomore Junior Senior 5th Year

Past Experience:
Please use the space provided to list your most recent experiences working with youth.

Experience Date

Reference:
Please provide one reference who can speak to your ability to work with people,
specifically children if possible.

Name:
Title/Position:
Email Address :
Phone # :

Written Response:

Please type your answer to the following question in the space provided. The
interviewer will be looking for a thoughtful answer so please take time to answer the question honestly and fully, however, do not exceed one typed, doubled spaced page, or approximately 250 words.

What qualities, characteristics, or experiences do you have to offer a
disadvantaged youth? How do you plan on using these characteristics to be
a successful LARY Buddy?

LARY Buddy Interest:

In an attempt to make each match as successful and rewarding as possible we ask
mentors which age and gender they are most comfortable working with. It is important to remember that these are only preferences and not guarantees so please note if you feel very strongly about your preferences.

Female Male No Preference
Age Range : Kindergarten - 2nd 3rd - 4th 5th - 6th No Preference

Please add any additional information that we should be aware of when making matches.

Thank you for your interest in the LARY Buddy program and taking the time to complete this application.

If you have any questions or concerns feel free to call x6644.

 

 

 

Lawrence University, PO Box 599, Appleton, WI 54912 (920) 832-7000 Contact Lawrence