2026-2027 GQ Student Mentorship Application

2026 Student Membership Application
Gentlemen’s Quest of Tampa Inc. is a community based 501c3 organization dedicated to expanding opportunities and support for students in the Tampa Bay area. The program is dedicated to helping our participants realize their full potential as students, make positive choices regarding their academics and behavior, and equip them with the skills necessary to become productive citizens after they graduate.

Through structured activities, the youth learn from their mentors, their peers, and themselves. They are given the tools to build their intellectual, emotional, and relational capacity and construct an identity based on respect, accountability, and responsibility so they can embark on the path to manhood unfettered. The students engage in weekly experiences that result in enhanced relationships, increased school performance, strengthened family connections, and positive contributions to society.

To remain active in the program, students must consistently attend their assigned weekly session, which will take place on either Tuesday or Wednesday night. Upon enrollment, each student will be placed in a specific cohort and is expected to remain in that cohort for the entire school year; switching between nights is not permitted. Students may be excused from their assigned night if they are actively participating in an in-season sport.

Each session will include academic support (tutoring), monitoring of academic progress and behavior, life skills development, college and career exploration, and a full meal. Additionally, students will have opportunities to participate in community service projects, college tours, and leadership retreats on select non-school days to further support their overall development and preparation for life.

We will only accept 40 high school male students each year. Once we are full, your student’s name will be placed on the waiting list. The waiting list will not roll over to the new school year. However, if a student is dismissed from the program for any reason, a new student from the waiting list will be added.
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Has your student ever flown on a plane before?
Has your student ever been on a college tour?
Does your student have access to their own personal laptop or desktop computer in your home?
Does your student have internet access in your home?

Area(s) of Concern:

Other
What would you like your student to benefit from being a part of the GQ Program? (Be as specific as possible.)

Select your preferred session night for participation. (We will do our best to honor your preference, but final placement will depend on availability.)

- Student Email Address
  example@example.com
- Student Phone Number
  
  Area CodePhone Number
- Student Preferred Contact Method
- Student Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Parent Name
  
  First NameLast Name
- Parent Email Address
  example@example.com
- Parent Phone Number
  
  Area CodePhone Number
- Parent Preferred Contact Method

- Emergency Contact Name
- Emergency Contact Phone Number
- Allergies, Medications, or Medical Concerns

- Waiver Form Instructions
  
  This is an electronic version of our parent waiver form and to be filled out by a parent/legal guardian only. Please initial below for each of the following items to indicate your permission and complete the electronic signature before submitting your application.
- I give permission for my child to be an active member of the Gentlemen's Quest of Tampa Inc. [initial below]

I understand that my student must be enrolled in school to participate in the program. [initial below]

I understand that my student must maintain at least a "C" in all classes at all times to remain active in the program. [initial below]

I understand that my student cannot receive any disciplinary referrals to remain active in the GQ program. [initial below]

I understand that my student must dress appropriately on "GQ Dress Days." He will be dressed in a button-down shirt, slacks, a tie, and dress shoes. If he is unable to obtain one of these items, I will let the GQ Program Coordinator know at least 48 hours prior to "GQ Dress Day." [initial below]

I will ensure that my student attends the weekly Life Class sessions and field trips. If he has to miss a class or field trip, I will let the GQ Program Coordinator know in advance. [initial below]

I acknowledge that Gentlemen's Quest of Tampa Inc. is a mentoring program rooted in biblical principles, aimed at teaching traditional concepts to young men. [initial below]

I give Gentlemen’s Quest permission to photograph my student and use his likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. [initial below]

I give permission for my student to have contact with the personnel of the Gentlemen’s Quest of Tampa Inc. and their designee regarding activities, field trips, academics, and behavior. [initial below]

I give permission for my student to be transported by the Gentlemen’s Quest of Tampa Inc. and their designee to sponsored activities and field trips. [initial below]

I give my student permission to attend any field trip sponsored and/or facilitated by the Gentlemen’s Quest of Tampa Inc. I also understand that unanticipated situations and problems can arise in any trip and I agree to release and hold harmless the program, its agents, employees, and volunteers, from any and all liability, claims, suits, demands, judgements, costs, interest and expense, (including attorney’s fees and costs) arising from such activities, including any incident or injury to the student and the costs of medical services. [initial below]

I acknowledge and agree that any work, project, or creation produced by my child during a program or event sponsored by Gentlemen's Quest of Tampa Inc. shall be the property of Gentlemen's Quest of Tampa Inc. I further understand that any funds generated from such work may be used to support and enhance future programming.

I consent to and authorize the personnel of the Gentlemen’s Quest of Tampa Inc. and their designee to take whatever reasonable steps he/she deems necessary in order to provide emergency medical care for my child. I further agree to permit my child to be transported to a medical facility by ambulance or other commercial vehicle. [initial below]

I acknowledge the importance of my child having a safe and supportive outlet to express their feelings and emotions. I give permission for my child to participate in both individual and group counseling sessions, led by an on-site licensed counselor, if they express a desire to do so. I understand that participation in these sessions is entirely voluntary and my child may choose to attend whenever they feel the need for support. I also understand that Gentlemen's Quest of Tampa Inc. will cover the full cost of these sessions.

I understand that the official Gentlemen's Quest calendar is maintained on the GQ website and is updated throughout the program year. I acknowledge that it is my responsibility to review the calendar regularly and remain informed of all upcoming meetings, activities, and events. I further understand that certain events designated by Gentlemen's Quest as required events (including, but not limited to, the Mother & Son Ball, College & Career Day, the Annual Awards Gala, and other required program activities) are considered part of my student's commitment to the program. I understand that attendance at these required events is expected unless prior approval is granted by Gentlemen's Quest due to extenuating circumstances.

I understand that repeated unexcused absences from the weekly sessions or required events may affect my student's standing and continued participation in the Gentlemen's Quest program.

I understand that Gentlemen's Quest accepts a maximum of 40 students per program year. Once all available spaces have been filled, additional applicants will be placed on a waitlist in the order received. Students are invited from the waitlist only if an opening becomes available during the program year. I understand that placement on the waitlist does not guarantee admission, and I may not receive additional communication unless a space becomes available for my student. I also understand that the waitlist does not carry over to the following program year, and a new application must be submitted for future consideration.

I consent to and authorize Gentlemen’s Quest of Tampa Inc. to share program-related data (including but not limited to demographic, attendance, and performance data) with the following organizations for evaluation and reporting purposes: (1) Children's Board of Hillsborough County, (2) Corporation to Develop Communities of Tampa, (3) Department of Children & Families. [initial below]
By typing your full legal name below, you are signing this Parent Waiver Form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.
Upload most recent report card. Report cards are required for new students.

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