IVM IMPACT VALOR MENTEE APP

IVM IMPACT VALOR MENTORSHIP

Impact Valor Mentorship Program • Fresh Impact Church - Men of Valor
Mentee Application
Thank you for your interest in the Impact Valor Mentorship Program. This program is designed to provide young men ages 12-18 with guidance, encouragement, and support through a structured mentorship. Please complete the application below to be considered for the program.
Full Name
Date of Birth

MonthDayYear
Date
Phone Number
Street Address
City
State
Zip
Email Address
example@example.com
School
Grade Level
Parent/Guardian Name
Relationship to Applicant
Parent/Guardian Phone Number
Parent/Guardian Email Address
example@example.com
Why do you want to be part of the Impact Valor Mentorship Program
What qualities do you look for in a mentor
Do you have any specific interests or areas of growth you would like to focus on? (Check all that apply):

SportsMusicBusiness/EntrepreneurshipTechnologyBible Study/Spiritual GrowthOther
Commitment Agreement: I understand that participation in the Impact Valor Mentorship program requires a commitment of six months, with the option to continue for an additional six months. I agree to:
- Engage in a weekly call with my mentor.
- Meet in person with my mentor once per month.
- Attend quarterly gatherings with other mentors and mentees.
- Be open to learning, growth, and guidance.
- Follow the program's expectations and guidelines.
I the parent/guardian of the above named give my permission for my child to participate in the Impact Valor Mentorship Program. I understand the commitment involved and will support my child's participation. ParentGuardian Signature:*

Clear
Mentee Signature*

Clear
Thank you for your application. A representative from Impact Valor Mentorship will contact you regarding the next steps.
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IVM IMPACT VALOR MENTORSHIP

Mentee Application