Encompass Mentor Application

Encompass Mentoring Program

Helping women form lasting supportive friendships.
Encompass is a mentoring program that runs from Sept to April every year. We meet twice a month (every other Monday) from 5:30pm - 7pm at Amethyst Place Communtiy Building. We have dinner and a light activity. The atmosphere is light and fun to give each Mentor/Mentee space to have a night off together.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How fimilar are you with Amethyst Place?
Do you have any knowledge/experience of substance Use dIsorder, trauma, foster system, and or mental health dIsorders? If so please give a short description of your understanding
Tell me a little about why you would like to be a mentor.
Use this space to add other information you would like to share.
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Encompass Mentoring Program