Mentor Application

StandOUT Youth Mentoring Program is seeking dedicated mentors who are 16 years or older to join our team.

Mentors between the ages of 16-22 will be considered peer-mentors, offering an opportunity for volunteer or internship hours while helping shape the future of our youth and must meet the following criteria:

Academic standing: Mentors in high school or pursuing higher education must maintain a
minimum GPA of 3.0.
Disciplinary record: No outstanding disciplinary issues in or outside of school.
Time commitment: 2 hours per week. (Tuesday 5PM – 7PM at the MI3 Center)

Background check: Anyone over the age of 18 must pass a background check.

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Name*

First Last

Email*

Phone*

Age*

Gender

Race*

Section Break

1. Are you currently enrolled in high school or pursuing higher education?*

2. If you answered "Yes" to #1, what is your current academic standing?

High school student

College/University student

Other

3. If you answered "Yes" to #1, what is your current GPA?

4. If you answered "Yes" to #1, do you have any outstanding disciplinary issues at school or in the community?

5. Are you available to commit 2 hours per week, Tuesday's 5PM - 7PM at the MI3 Center for mentoring?*

6. Are you over the age of 18?*

7. If you answered "Yes" to #6, are you willing to undergo a background check?

8. Why are you interested in becoming a mentor?*

(Please keep responses under 150 characters)

0 of 150 max characters

9. Have you had any previous experience in mentoring or supporting your youth? If yes, please describe briefly.

(Please keep responses below 150 characters)

0 of 150 max characters

10. What skills or qualities do you possess that you believe would make you an effective mentor?*

(Please keep responses below 150 characters)

0 of 150 max characters

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Thank you for taking the time to complete this application. We will review your responses and contact you if you meet the qualifications for a peer mentor.