Mentor Interest Survey – Field of Hope

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11821 State Route 160, Vinton, OH 45686
740.245.3051
contact@fieldofhope.life

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Mentor Interest Survey

- Step 1 of 3

Youth's Information

Name

First

Middle

Last

Please complete all of the following. This survey will help Field of Hope Mentoring Program know more about you and your interests and help us find a good match for you.

What are the most convenient times for you to meet with your mentee? Please check all that apply.

Lunchtime
After School
Evenings
Weekends
Other

If "other" is checked above, explain:

Please indicate age group(s) you are interested in working with:

11-14 years of age
15-18 years of age

Do you speak any languages other than English? If so, which languages?

Would you be willing to work with a child who has disabilities? If so, please specify disabilities you would be willing to work with.

What are some favorite things you like to do with other people?

What are your favorite subjects to read about?

What is your job and how did you choose this field?

What is one goal you have set for the future?

If you could learn something new, what would it be?

What person do you most admire and why?

Describe your ideal Saturday.

Please check all activities you are interested in:

Animals/Pets
Biking
Boating
Board Games
Camping
Cooking
Fishing
Gardening
Golf
Hiking
Library
Movies
Music
Painting/Photos
Parks
Science
Shopping
Sports
Swimming
Yoga

List any other areas of strong interest:

Additional Information

The child is being referred for assistance in the following areas (check all that apply):

Academic Issues
Attitude
Behavioral Issues
Delinquency
Family Issues
Peer Relationships
Self-Esteem
Social Skills
Special Needs
Study Habits
Vocational Training
Other

Why do you feel this youth might benefit from a mentor?

What particular interests, either in school or out, do you know that the child has?

What strategies/learning models might be effective for a mentor working with this youth?

Youth Assessment

Academic Performance

Selected Value: 0

Social Skills

Selected Value: 0

Self-esteem

Selected Value: 0

Family Support

Selected Value: 0

Communication Skills

Selected Value: 0

Attitude About School/Education

Selected Value: 0

Peer Relations

Selected Value: 0

With what specific academic subjects, if any, does the student need assistance?

Additional Comments:

Comment

fohcc

Women who have at least 30 days of sobriety may be

Women who have at least 30 days of sobriety may be eligible to be admitted to Field of Hope's ON-Campus Sober Living House.

The safety, structure, and accountability provided for Sober Living ON-Campus participants begins the process of reintegration back into society as a sober and drug-free person.

At Field of Hope we see hearts and lives change every day. Call us for more information.

(740) 245-3051

#wherelifechangehappenseveryday
#recoveryispossible
#sobriety #justfortoday
#onedayatatime #GodCan

If you are struggling with addiction, let our cari

If you are struggling with addiction, let our caring staff help!

We have open beds available.

Call (740) 245-3051 for more information.

#wherelifechangehappenseveryday
#sobriety
#recoveryispossible

Alcohol Awareness Month Dr. George Koob, director

Alcohol Awareness Month

Dr. George Koob, director of the National Institute of Alcohol Abuse and Alcoholism, has called alcohol "a growing women's health issue" as we continue to see alcohol linked death rates for women go up by 85% in the last decade.

#ProofIsInTheNumbers #AlcoholAwarenessMonth
#womenshealth
#womensissues

Alcohol Awareness Month Being harmed by other peo

Alcohol Awareness Month

Being harmed by other people's drinking #secondhandharms is real.

1 out of 5 Americans report being harmed by someone else's drinking in some way.

Health experts found that people living where government alcohol monopolies exist have 41% lower odds of experiencing physical harm from other people's drinking.

#ProofIsInTheNumbers #AlcoholAwarenessMonth #AlcSafeguardsSaveLives
#secondhandharms

Immediate residential bed placements available for

Immediate residential bed placements available for adult women.

Residential is just one leg of the journey. Each step down level provides more opportunities as you learn to gain freedom from addiction and put the pieces of your life back together. The Field of Hope Staff will be with you every step of the way!

#WhereLifeChangeHappensEveryday

"Let all that you do be done in love." 1 Corinthi

"Let all that you do be done in love."
1 Corinthians 16:14

Although sometimes this can be a difficult task, God knows, if we follow this, we can avoid much trouble and gain much peace.

Happy Sunday from all of us at the Field of Hope!

Alcohol Awareness Month More than half of those w

Alcohol Awareness Month

More than half of those who misuse prescription opioids engage in binge drinking.

1 in 5 prescription opioid deaths involve alcohol.

Mixing opioids and alcohol can be deadly. Especially to those who binge drink.

#ProofIsInTheNumbers
#AlcoholAwarenessMonth
#prevention #godcan #wherelifechangehappenseveryday #faith #newlife #alcohol #opioids #death

Alcohol Awareness Month Mixing alcohol and opioid

Alcohol Awareness Month

Mixing alcohol and opioids can be lethal by causing respiratory depression. It only takes one oxycodone tablet mixed with alcohol to increase the risk.

#PROOFisinthenumbers
#alcoholawarenessmonth
#godcan
#recovery #faith #wherelifechangehappenseveryday
#fohcc #recoveryworks #opioidcrisis #alcohol #freedom

Alcohol Awareness Month It is a surprising statis

Alcohol Awareness Month

It is a surprising statistic that adult women and middle aged drinkers are driving the increases in alcohol-related ER visits.

Although there is no conclusion to why this is happening, it stands to reason that it is probable this is due to women catching up to men nationally in overall drinking, binge drinking, drunk driving and deaths from cirrhosis of the liver caused by alcoholism.

#wherelifechangehappenseveryday
#alcohol #alcoholawarenessmonth #GodCan #recoveryworks #recovery #fohcc #faith #overcomer #freedom #nomore #bethechange

Save the date for Field of Hopes 6th annual commun

Save the date for Field of Hopes 6th annual community celebration!

Enjoy a free Bob Evans breakfast, hear testimonials of lives changed and see new community projects being put in place. It's an exciting time here at FOH and we would like to share it with you!

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