Stout Middle School Peer Mentoring Program
Stout Middle School is excited to be able to continue the Peer Mentor Program this
school year. This program provides individual students with the chance to build a oneon-one supportive relationship with a younger student or to assist small groups in a
particular class. Seventh and eighth grade students have been selected to work in the
following areas:
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Academic achievement- improving skills, grades and responsibility
Social skills- encouraging honesty, commitment, decision making and problem
solving
Behavior modification- developing positive attitudes and changing negative
behavior patterns through modeling
Personal attributes- developing self-esteem, self-respect and the ability to set
personal goals.
Mentors will meet once a month after school with Ms. Poloni to receive training, address
concerns and provide feedback of their experiences. All students are required to keep a
weekly log of their experiences- highlighting major events or things that were
accomplished throughout the week. This log will be 20% of the peer mentors grade.
Mentoring programs have been proven beneficial to mentees in many ways as reported
by National Dropout Prevention Center. The advantages of such programs include
students’ improving self-esteem, earning higher grades in school, encountering fewer
behavior difficulties and improving the ability to set and achieve goals. The key to
building a successful program and relationship encompasses regular, consistent contact
between the mentor and mentee on a personal level.
We believe that all children have the potencial to succeed in life and contribute to
society, However, not all children receive the support or possess the assets they need to
thrive. The mentoring experience provides these students the opportunity to find
support, counsel, friendship, reinforcement and a constructive example to emulate.
In order to be eligible for a peer mentor position, students must be in and remain in
good academic standing as well as obtain a teacher recommendation. We look forward
to working with you and helping you become a peer mentor.
Sincerely,
Ms. Poloni
APPLICATIONS ARE DUE BY TUESDAY SEPTEMBER 15TH! NO LATE APPLICATIONS WILL BE
ACCEPTED. IF YOU MISS THIS DATE YOU CAN APPLY 2ND SEMESTER!
Leadership Application
Name: _________________________________________________ Grade:________
Please answer the following questions:
1. Why do you want to be a Peer Mentor?
____________________________________________________________________
____________________________________________________________________
2. What qualities do you possess that will help you be a good mentor?
____________________________________________________________________
____________________________________________________________________
3. List any school or community activities in which you are involved in?
____________________________________________________________________
What are your top three choices for classes/subjects that you would like to be
considered to mentor in. (This does not mean that you will be placed in that class but
we will try and accommodate your preferences.)
1._____________________ 2 .________________________ 3._______________________
Which elective class would you be willing to drop in order to be a peer mentor and
what hour do you currently have that class?
Drop Elective:_______________________________ Hour: _________________
Teacher Recommendation: (Please leave a comment in support of your
recommendation for this student)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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Teacher Name:_______________________________ Signature:______________________
Student Signature: __________________________________ Date:__________________
Parent Signature:____________________________________ Date: __________________
APPLICATIONS ARE DUE BY TUESDAY SEPTEMBER 15TH! NO LATE APPLICATIONS WILL BE
ACCEPTED. IF YOU MISS THIS DATE YOU CAN APPLY 2ND SEMESTER!