• Find a Mentor Interest Form

    The Village Project Mission “To surround young Black men with positive, consistent relationships that help them recognize their value, expand their possibilities, and make choices that protect their futures.” Core belief “Every young man deserves a village.”

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Preferred Method of Contact*

  • Tell Us About Your Young Man

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Hobbies and Interests

  • His Future

  • Which career areas is he interested in?

  • What Are You Looking for in a Mentor?

  • What would you like a mentor to help with?*

  • Help Us Make a Good Match

  • Qualities Desired in a Mentor*
  • Interests or Traits to Match
  • Preferred Mentoring Format*
  • Preferred Meeting Setting*
  • General Availability*
  • Best Days and Times
  • Interest in Group Activities*

  • Young Man’s Participation

  • Does he know about this form?*
  • Is he interested in having a mentor?*
  • Would he complete a short questionnaire?*

  • Parent/Guardian Acknowledgments & Signature

  • Acknowledgments*
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: