Mentored Troops Volunteer Interest Form

Black, Indigenous, and People of Color (BIPOC) Troop Interest Form
Our Black, Indigenous, and People of Color (BIPOC) troops center the unique experiences of BIPOC youth. Both Mentored Troops and ConnectZ are predominately, but not entirely, led by BIPOC adults who care deeply about making a difference in the lives of youth and their communities. If you’re interested in an BIPOC troop for your kid, fill out the interest form below. We’ll be in touch about troop options in your area!
Caregiver/Adult Name*
First name and last name
Email Address*
example@example.com
Phone Number*
Street Address and Unit (as applicable) *
Zip Code*
Girl's Name*

First NameLast Name
Girl’s Grade For 2022-2023 School Year*
Girl's Birthdate*

MonthDayYear
Date
Girl's Race (Select as many as apply)*

Am. Indian or Alaskan NativeAsianBlack or African AmericanHawaiian or Pacific IslanderWhiteOther racesI choose not to share
Girl's Ethnicity*
Girl's School*
Are you interested in leading her troop?*
What type of troop experience are you looking for?*

Multi-culturalCulturally specific
Tell us which specific cultural background is your preference.*
How many minutes are you willing to travel from your home to a troop meeting?*
Is there anything else you would like us to know?
Should be Empty:

Black, Indigenous, and People of Color (BIPOC) Troop Interest Form