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.

"*" indicates required fields

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)

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

(Please keep responses below 150 characters)

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

(Please keep responses below 150 characters)

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Name

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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.