Mentee Registration Form

Mentee Registration Form

" Empowering young women to rise in identity, purpose, and legacy".
Welcome Daughters,

We are excited that you’re interested in joining Daughters of a King Mentoring Agency!

Please Note:

Applications must be completed in full to avoid delays.
Admissions review may take up to 1 week (depending on volume).

Annual Registration Fee: $350

Includes:

1. Two Business Professional Shirts

2. Personalized Mentee Box
3. Gourmet Lunch
4. Bonding Events

Registration closes at the end of each fiscal year.

Check our website and social media for deadline updates.

Private Mentorship Regristration opens in 2028.

Follow us on Instagram: @DaughtersofaKingMentoring

We look forward to welcoming you into the DK family!
Full Legal Name*

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
What is your race/ethnicity?*

White/CaucasianHispanic/LatinoBlack/African AmericanAsianNative AmericanMiddle Eastern/North AfricanNative America/ Pacific Islander
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Please list your Employment Information (Job Position, Employer Name, Work Schedule if Applicable).
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address ( if different from physical address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select your T-Shirt Size *
Please select your size for a Track-Suit/ Active Wear *
Daughters of a King Mentoring Agency conducts an intensive digital assesment on all applicants to ensure their social media profiles aligns with the Agency Code of Conduct, Character Model, and Professional Profolio. It is vital for all applications to exemplify integrity by providing their social media handles for our team to complete the assessment.

If this information is not provided it could prolong the regristation process or delay membership.
Please select all social media platforms you currently utilize for engagement.*

FacebookInstagramTikTokSnapChatAll the above
Please List ALL of your Social Media Platforms ( Ex. Instagram Name: AsianDoll_)*
Identity Verification & Medical Information
Please attach the requested documents to verify the mentees identity and medical information for emergencies during any out-of-state events.
Name*

First NameLast Name
Please provide a recent Headshot for your Mentee Portofilo. * Name your file firstandlastname_headshot Example: JessicaJones_headshot *

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Please provide a copy of your Identification Card. School/University ID will suffice. * Name your file firstandlastname_ID Example: JessicaJones_ID *

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Please provide a copy of your Medical Insurance Card. * Name your file firstandlastname_Medical Example: JessicaJones_Medical *

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IMPORTANT: Please list any Food Allergies or Medical Conditions.*
I hereby understand that all parties are obligated to abide by the Agency Policies to avoid any violation or termination from the program. Upon, acceptance all participants must attend Orientation.

We are not responsible for any physical or psychological injuries that may happen to the participant while under supervision of Daughters of a King Mentoring Agency. By signing this contract you authorize the agency to waive all necessary rights that may result in the parties suing the agency for any injuries, involvement, discrimination, disagreements, or any other conditions that go against our bylaws.

Due to the intensity of care provided to every girl, we are a private mentoring agency to promote confidentiality and protect the rights of all parties involved. We will only share achievements to the public once cleared through executive management.
Signature*

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EMERGENCY CONTACT
Name*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.
Email address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My Products*
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Annual Registration Fee
$350.00 Quantity
Item subtotal:$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Identity Verification & Medical Information

EMERGENCY CONTACT