Life Beyond Bars Volunteer Registration

Mentor Registration

Astericked (*) fields are required. After submission, you will receive a confirmation email and periodic email updates about your mentorship.
REQUIREMENTS:
- Be at least 18 years old
- Reside in the New York City area
- Complete the screening and training process
- Commit to 1-year with your mentee
- Commit to 4 hours a month of one on one time with your mentee.
- Set goals with your mentee on a monthly basis
- Adhere to all policies and procedures
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Cell Phone

Area CodePhone Number
What's the best time to reach you?
Birthdate

MonthDayYear
Date
Gender

FemaleMaleOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about this mentoring program?
Where you referred by an organization or colleague/friend?
Education Level*

In High SchoolHigh School GraduateIn CollegeAssociate's DegreeMaster's DegreeDoctorate
PREVIOUS MENTORING EXPERIENCE
Describe your previous mentoring experience and list the organizations.
Areas of Interest (select all that apply):

Weekday Homework HelpSaturday Youth Service CenterOne on One Tutoring
After you click Submit, you will receive an email confirmation, along with a link to edit your volunteer schedule.
Should be Empty: