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Black Leaders of Tomorrow Mentor Application

Thank you for your interest in becoming a Mentor under the Black Youth Business Mentoring Program. 

The purpose of the program, entitled Black Leaders of Tomorrow, is to support the positive development of Black youth through access to consistent, caring adults who will help them pursue and achieve goals and outcomes related to:

  1. Employment/entrepreneurship
  2. Educational achievement
  3. Civic engagement/leadership

Funded through the Ministry of Children, Community & Social Services, the program also supports Black youth in building a strong cultural identity.

To be eligible, you must:

  • Be between the ages of 16 and 24
  • Reside in the Region of Peel
  • Self-identify as a Black Youth
  • Embrace Black culture
  • Interested in developing business skills

Please complete the application in full. If you have any questions, please email mentoring@rootscs.org. You may also call our BAC Community Support Line at 647-812-8545 or visit us at www.rootscs.org/blt  for more information.

We look forward to welcoming you to the program.

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First Name *
Last Name *
Date of Birth *
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Gender *
 Phone Number *
Email *
Full Address (Including Postal Code) *
T-shirt Size
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Emergency Contact
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Name *
Telephone Number
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Email 
Relationship
Primary Religion
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Primary Language
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Do you have any allergies or medical conditions you want to disclose?
Referral Source *
AM Block availability (Please choose days you are available)
PM Block availability (Please choose days you are available)
Business focus/interest *
Other Career Focused Interests
Do you have an interest that you would like to convert to a business?
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If yes, what is that interest? 
Do you currently own a business? *
If yes, please state the name and type of the business and how long it has been in operation
Can you commit to participating in the program for 9 months? *
 A major objective of the Black Youth Business Mentoring Program is to help mentees develop a strong cultural identity. How would you help your mentee achieve this objective?
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As you will be interacting closely with youth, you are required to provide us with a recent Vulnerable Sector Police Reference check before you are matched with a mentee. Do you object to obtaining this document?

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Can you commit to spending at least 4 hours a month with your mentee? *
What do you expect to gain from participating in this program as a mentor? *
Why do you want to be a mentor? *
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