Become a Mentor Interest Form

EMPOWER A LEADER WITHIN MENTOR PROGRAM

Youth Moving Forward is looking for mentors to help make a positive impact by mentoring and supporting young adults, and helping them achieve their goals.
IT ONLY TAKES ONE HOUR A WEEK!!

1. Fill out an application outlining your interest and skills.

2. Submit a background check, and attend a two-hour orientation and training where you'll meet other new mentors and receive a manual with helpful tips and activities you can share with your mentee.

3. Once all steps are completed, you will become a certified mentor.

Complete our information form below, and we will reply at your earliest convenience.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DOB*

MonthDayYear
Date
Gender*
Occupation
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Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I understand that the mentor program involves spending a minimum of one hour every week, via contact, skype, or zoom, for the one-year commitment with an assigned mentee.*
I understand that I will be required to complete a two-hour mentor program orientation before I begin mentoring.*
6. Educational Background (mark one)

High School DiplomaGEDSome CollegeCollege Grad
How Many Mentees would you like?

1234
Would you prefer?

MaleFemaleOther
1. What are the strengths (bilingual, math skills, previous relevant volunteer experience, etc.) you can bring to this program?
Why do you want to become a mentor? *
9. Please indicate your times of availability*
Date

MonthDayYear
Date
Should be Empty:

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EMPOWER A LEADER WITHIN MENTOR PROGRAM

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