Eyden Villarreal & Co. Network sign up form
We're building a bold, faith-rooted, youth-focused network of leaders, learners, and life-changers. Whether you're here to collaborate, grow your platform, or become a mentor you belong here.
Basic Information
Name
*
First Name
Last Name
Email
*
example@eydenvillarrealco.com
Phone Number
*
Please enter a valid phone number.
Pronouns
Please Select
He/Him
She/Her
Them/Them
Other
Prefer not to say
Gender identity
*
Male
Female
Prefer not to say
Age
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
About you
Note: Most of this data is collected for statistical purposes and are mostly optional to answer
Which best describes you? (Choose all that apply)
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Student
Educator
Youth leader
Pastor or Faith-based leader
Nonprofit leader
Creative/Artist
Mental health advocate
Mentor/Coach
Other
Have you experienced a recent job change or transition (such as a layoff, career shift, or unexpected break)?
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Yes
No
Prefer not to say
Current Professional Status
Employed full-time
Employed part-time
Self-employed/Freelancer
Unemployed/Seeking opportunities
Student
Retired
Other
What are some of your biggest professional challenges right now? (Select all that apply)
Career advancement
Finding new opportunities
Work-life balance
Skill development/learning new techologies
Networking
Managing a team
Starting/growing a business
Dealing with burnout
Other
What are you hoping to achieve professionally in the next 1-3 years (Select all that apply)
Advance into a leadership role
Change industries/career path
Start my own business
Learn a new skill/gain certification
Find a mentor
Become a mentor
Expand my professional network
Achieve better work-life balance
Other
Youth Mentorship/Education
Are you interested in becoming a youth mentor through Eyden Villarreal & Co.?
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Yes! I want to mentor
No, right now, but maybe later
No, I'm here in a different role
What topics or skills can you help mentor youth in?
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Mental Health & Self-care
Leadership Developement
Public Speaking
Faith & Personal Growth
Creative Arts (Writing, Design, etc.)
Entrepreneurship/Starting a Project
College & Career Prep
Other
What is your current profession or field?
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Do you have a degree or certification?
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Yes
No
What is your highest level of education?
*
Please Select
No formal education/less than high school
High school diploma or GED
Some college, No degree
Associate's degree
Bachelor's degree
Master's degree
Doctoral degree
Professional degree
What is your area of study or certification?
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What days and times are you usually available to meet or mentor?
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Please list your general availability. Example: Mondays after 4 PM, Saturdays 10 AM–2 PM, etc
How much time (weekly or monthly) can you realistically commit?
*
Get Involved
Note: You are not always going to be mentoring, please select others forms of involvement.
Choose a Sub-Committee (Please select one committee to join. These are low-commitment group that you'll have to be part of if you aren't mentoring. You’ll be contacted with more info after submission.)
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Volunteer Standards Committee Handles rule enforcement, volunteer evaluations, and behavior reviews.
Project Approval Committee Reviews proposals for events, media, or projects.
Policy & Compliance Committee Maintain internal policies (code of conduct, media guidelines, ect.) Works with Legal Assistant Team to ensure legal/safe operations.
Support Us Crew (15+) Votes on purchase suggestions (approve or deny) before board review. Track spending, donations, and budgets across teams
Leadership Development Committee Trains new leaders and recommends team leads to the board. Manages interviews and orientation for Class A volunteers and other key roles.
Recognition & Awards Committee Nominates volunteers for awards based on service and character. Plans ceremonies, announcements, and recognition programs. Writes letters of recommendation for outstanding members.
Preferred Contact Method (Select the way you'd like us to contact you.)
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Email
Text
Phone call
GroupMe Network Chat app
Mail
Face-to-face
Video call
How often do you want to hear from us?
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Weekly
Monthly
Only when there's big news
Agreements
Name
*
First Name
Last Name
Signature (Here you are signing for the Eyden Villarreal & Co. Network Agreement)
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
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