All-Star University – YAB Mentor FORM ALL-STAR LEADERSHIP UNIVERSITY 2020 All-Star UNIVERSITY 2019adult mentor REGISTRATION ASLU - MENTORS Red asterisk indicates required field. MENTOR INFORMATION First Name Middle Name Last Name Email Phone Number Birthday (MM/DD/YYYY) Gender listed on ID for travelPlease select... M F Tshirt size (adult sizing)Please select... XS S M L XL 2XL 3XL Preferred Pronouns (e.g. she, her, hers/he, him, his/they, them, their) Ethnicity (e.g. Black/African-American, Native Hawaiian, Hispanic/Latino, White, etc.) School Name Title with ASAS Offerings taught Years at ASAS Supervisor's name Medications (N/A if not applicable) Allergies (N/A if not applicable) EMERGENCY CONTACT INFORMATION First Name Last Name Phone Number Email Contact Relationship TRAVEL INFORMATION We will try our best to accommodate your preferences. Preferred Home Airport Departure TimePlease select... Before 8AM 8AM - 12PM 12PM - 4PM Preferred ASLU Airport Departure TimePlease select... 12PM - 2PM 2PM - 4PM Preferred SeatPlease select... Window Middle Aisle Known Traveler Number (KTN) Airline Reward/Frequent Flyer # Departing Airport or Train Station Special travel needs (explain, e.g. allergies, medications ,etc.) MENTOR COMMITMENTSI believe that youth voice matters and I choose to empower Youth by committing to the following: Commitments to MyselfI COMMIT to giving my personal best in everything I do and modeling high quality effortI COMMIT to being on time, prepared to lead, and fully present with the youth I serveI COMMIT to being creative, open to new ideas, and collaborating with young peopleI COMMIT to seeking input, planning, reflecting, and being open to feedback Commitments to YouthI COMMIT to advocating for opportunities, resources, equality, and justice for youthI COMMIT to treating youth with respect and finding ways to include them in all we doI COMMIT to putting youth's needs and experiences first in our project decisions and designI COMMIT to be a positive mentor by being empathetic, listening deeply, and having healthy boundaries with youth Commitments to ASASI COMMIT to creating and supporting a Year of Service for our Youth Advisory BoardI COMMIT to co-planning and co-leading projects to serve our school and local communityI COMMIT to learning about leadership, youth development, and project planningI COMMIT to working with my Program Manager and Executive Director to create a meaningful presence and experience of youth leadership at the site and Chapter levels Contact Information
