NCC Mentors in Training Application Form

Red Deer Mentors in Training Application Form
The YMCA Mentors in Training program is an opportunity for youth to learn leadership skills, get volunteer experience and make new friends. Youth ages 12–18 will work with YMCA Senior Mentors and other youth in one-on-one and group settings to expand their professional and life skills.
Personal Contact Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of birth*

MonthDayYear
Date
Emergency Contact Information
Name of Emergency Contact*

First NameLast Name
Relationship to Applicant*
ex. parent, sibling, etc.
Daytime Phone Number*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.

Applicant Availability

* Please note: there is a minimum commitment of 2.5 hours weekly

Please List your availability:*

Area(s) of Interest
Please indicate your area(s) of interest:*

SportsSkateparkArts & CraftsScienceKitchen ProgrammingTeen NightYouth Drop-inRentalsOther

Consent and Approval
By submitting this form, you consent to have your information reviewed by the YMCA.
Should be Empty:

Red Deer Mentors in Training Application Form