Request edit access
Mentor Sign Up - Complete the form below
The Yuniverse Mentoring Program is designed for high school and middle school students in the South Lakes High School and Herndon High School pyramid. We feel this is especially important with students having to begin the 2020-21 school year in virtual learning, isolated at home. Our objective is to provide access to mentors who can help support students with any school issues they encounter or personal goals they are looking to pursue.

Mentors will go through training to ensure they are able to help the mentees in the most effective way possible, while also learning the procedures for the program. Mentors will be match with mentees based on the common interests or areas of particular skill. Mentors will be undergoing a basic background check prior to being matched with a mentee.

Mentors will meet in person, socially distanced and wearing masks, in person with their mentee for 45 minutes every other week at an outdoor covered pavilion in Reston or Herndon. Small group mentoring is also an option. All mentors and mentees must have their temperature checked and respond to screening questions from the Yuniverse site manager prior to a mentoring session.

At Yuniverse Foundation, our team is extremely excited to work with you in helping others!
Sign in to Google to save your progress. Learn more
Will you be an in person mentor or a virtual online mentor? (In person sessions take place in Reston and Herndon, Virginia) Virtual mentors can be from anywhere in the world! *
First Name *
Last Name *
Are you currently *
If in High School what is your Grade Level?
Clear selection
As of September 1, 2020, which group do you fall into?
Clear selection
Are you a parent of a K-12 student?
Clear selection
If yes, do you have a student at any of the schools in the program?
Gender *
Email Address *
Mobile Phone
Why do you want to be a part of this program?
To further help us find a good match, please share a little more about things that interest you.
Based on the interests you selected above, please go into some more detail about each of your interests.
What are you most excited to share in terms of your interests/skills with the mentee? We ask this question to help us make matches with mentees who may have similar interests.
Do you have any previous experience as a mentor?
Clear selection
If yes, please describe your experiences.
How familiar are you with the blackboard, google classroom, and SIS programs used by FCPS?
Clear selection
Are you able to allocate time on a weekly basis (Bi weekly 45 minute meeting in person and 15 minute call on off weeks) to connect with your mentee for the program design?
Clear selection
Would you be interested in being a one to one mentor or being a part of a small group mentoring?
Clear selection
If you chose small group, are you open to being the lead small group mentor?
Clear selection
What days are you most available? (It will be one in person meeting per week)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy