MYM Mentor Application

WANT TO BE A MENTOR?

SIGN UP BELOW!
REQUIREMENTS

1. Must Be a Male

2. 18 years or older

3. Fill out an Application

4. Pass Background Check

5. Attend a Training Session

6. Complete 7 Charcter Principles

7. Lead By Example
Mentor Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will this be your first time participating in a mentoring program?*

YesNo
If no, in what capacities have you served as a mentor or had a mentor yourself, and what was your experience like?
Can you commit to meeting with MYM or mentee for at least one hour, once a month?*

YesNo
Why do you believe you would be a strong mentor?*
Please provide any other information you believe would be important in review of this application.
Should be Empty:

WANT TO BE A MENTOR?