PLANTING POSITIVE SEEDS MENTEE APPLICATION

MENTEE APPLICATION
Planting Positive Seeds’ mission is to empower, encourage, and motivate young women and girls to live a positive life. We encourage positive living through a variety of activities, such as workshops, training, and outreach events. Interested applicants must meet the requirements listed below.
Application Requirements
- Between the ages of 13-18
- Being Raise in a Single Mom home
- Enrolled in grades 8-11 grades
- Legal Resident
Please select the option below for parental consent.

o I have parental consent to be a part of Planting Positive Seeds (CONTINUE TO THE NEXT

o I do not have parental consent to participate (STOP HERE)
PARENTAL/GUARDIAN INFORMATION
Parent Name Parent Phone Number
First
Last
Phone Number
Please enter a valid phone number.
Plantingpositiveseedsinc@gmail.com
Parent Email
example@example.com
Address
City
State
Postal Zip code
APPLICANT INFORMATION
First
Last
Phone Number
Age
Grade Level
Email
example@example.com
T-SHIRT SIZE

Choose below
S
M
L
XL
XXL
Plantingpositiveseedsinc@gmail.com
Submission Requirement
Write an essay on what planting positive seeds means to you. How do you share positivity in your everyday life?
Email: plantingpositiveseedsinc@gmail.com
Plantingpositiveseedsinc@gmail.com
MENTEE CONTRACT
Name:
Date:

Month Day Year
Date
By choosing to participate in the Planting Positive Seeds Mentoring Program, I agree to:

Follow all rules and guidelines as outlined at the orientation Have a positive attitude and be respectful of all Be on time for scheduled meeting, activities, and events Participate as an Ambassador for Planting Positive Seeds
I agree to follow all the above stipulations of this program as well as any other conditions instructed by the Planting Positive Seeds Mentoring Program at this time and/or in the future.
Print Name:
Signature:

Clear
Plantingpositiveseedsinc@gmail.com
Should be Empty:

MENTEE APPLICATION

Application Requirements

PARENTAL/GUARDIAN INFORMATION

APPLICANT INFORMATION

T-SHIRT SIZE

Submission Requirement

MENTEE CONTRACT