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City of Boston: Mayor's Mentoring Movement
WELCOME!

Thank you for your interest in the Mayor’s Mentoring Movement!

If you are interested in becoming a mentor, please complete the short (5 minute) form below. Currently, there are 19 mentoring partners participating in the Mayor's Mentoring Movement. Based on your responses, we will work with our program partners to find the best fit for you.

Thank you for your commitment to Boston youth!

All the best,
Mayor's Mentoring Movement Team
BECOME A MENTOR TODAY!
1. First Name *
2. Last Name *
3. Business/Organization
4. City/Town *
5. Zip Code *
6. E-mail address *
7. Daytime phone (No hyphens please) *
8. Gender *
9. Age *
10. Race/Ethnicity *
11. Are you a City of Boston Employee? *
If so, please contact Roxanne Longoria at roxanne.longoria@boston.gov to receive periodic mentoring updates.
12. Please select up to three programs from the following list of program partners that you are interested in working with. *
Below is a short description. For a more detailed description of each program, please visit the following link: http://tinyurl.com/ju3l3d4
Required
13. What type of mentoring relationship are you interested in? *
You may select multiple responses.
Required
14. Preferred Age of Mentee (Select All That Apply) : *
Required
15. Preferred Mentoring Location *
Required
16. Would you be able to mentor during the weekdays between 9AM - 5PM? *
17. Is there anything else you would like Mass Mentoring to know about your preferences that would help us make your referral? (i.e. language preferences or interest in working with immigrant, foster care system, or youth of disabilities, etc.)
18. How did you hear about the Mayor's Mentoring Movement? *
Required
THANK YOU!
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