• Kyler's Connections Mentee Application

    This application is for all people wishing to be connected with a mentor. For questions please email us at Mentorships@transfamilysos.org

  • Personal Information

  • Pronouns
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender Identity
  • Format: (000) 000-0000.
  • What structure of mentorship would you prefer? (Note: please know that selecting a certain structure -- in particular an in-person mentorship -- will be limited by available mentors and does not necessarily guarantee actual mentorship structure.)

  • Hobby & Interest

  • 0/5000

  • Mentorship

  • 0/32768
  • 0/32768
  • 0/5000
  • 0/5000
  • 0/32768

  • Family & Support

  • Emergency Contact Information

    This information will only be used in the case that there is an immediate safety concern for you AND we are unable to contact you directly. We will only share the necessary information in contacting this person. If you have any questions regarding the use of emergency contacts and what that conversation might look like, please contact our coordinator at mentorships@transfamilysos.org

  • Format: (000) 000-0000.

  • Demographics

    You may choose whether or not to answer all questions. We ask for this information for two reasons:

    1) If it would be helpful, we can use some demographic information to match you with a mentor that has shared identities, such as race and/or ethnicity.

    2) These also help us get a better understanding of the community we serve and to secure funding for our programs. Many grants require knowing more about the demographics we serve and whether or not their mission also serves similar intersections to a community, such as race, economic class, and family size.

  • Romantic or Sexual Orientation (please select all that apply)
  • Do you identify as intersex?
  • Should be Empty: