Boys To Men Foundation New Application

BTM Mentoring Program 2024 New Child Application!

We are very glad to know you are interested in participating in our program and helping to give your son(s) the opportunity to grow and learn. Please carefully read this application. Make sure the information you provide is complete and accurate. Also, please do not leave any blank spaces. If you have any questions or issues, do not hesitate to reach us at: steviinjames@boystomenfoundation.org

We look forward to seeing your son very soon!

Mentoring fee is $25 monthly recurring

Personal Information
Child's Full Name*

First NameMiddle NameLast Name
Your Child's age*
Birth Date*

DayMonthYear
Parent / Guardian full name*

First NameLast Name
Mobile Number*

Area CodePhone Number
E-mail*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What Type Of Medical Insurance*

MedicaidPersonal InsuranceNone

Education
Son's School name*
Current Grade*
Explain why you feel your son needs mentoring at Boys to Men Foundation*

Please attach report card if applicable
Please upload child's report card if applicable

Browse Files

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Submission
Is there any other information that you would like to share with us?
Date you would like to start*

MonthDayYear
Date
You have chosen to submit an application for your child in The Boys to Men Foundation Mentoring Program. If you would like your child to participate in the program, and you have spoken with your child about having a mentor, please grant your permission by signing below. One of our Program Managers will soon be in contact with you about your child’s new mentor. You also understand that the fee is : $25 per month*

Yes, I agree / Understand
Signature*

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