Youth Mentoring Collaborative Partner Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in becoming a partner of the Youth Mentoring Collaborative! You are a part of a robust network of programs across the Carolinas, working to connect young people to meaningful mentoring relationships.

COMMITMENT TO DIVERSITY AND INCLUSION

Youth Mentoring Collaborative supports partner organizations who serve all ethnic and racial backgrounds and abilities. We are committed to supporting program partners that reflect our organizational priorities. We will continue prioritizing best practices and strategies to recruit the partners most aligned with our mission, vision, and values.

This partner application will take 15-20 minutes to complete. Please provide complete information if available.

Organization Name *

Address *

Phone Number *

Primary Contact Name *

Primary Contact Title *

Primary Contact Email Address *

Website

Year Organization Established

Current Year Organizational Budget

Less than $50,000

$50,000 - $200,000

$200,000 - $500,000

$500,000 - $1M

$1M+

Clear selection

Our organization: *

Check all that apply.

has organizational goals regarding equity (staff, board, participants)

has liability insurance

includes participants and/or family and/or the community in our decision-making process

has a Diversity, Equity, and Inclusion statement

operates under its own 501(c)(3) nonprofit status

is a public, private or charter school

has a board of directors or trustees that meets at least quarterly

None of the above

has a website with up-to-date information

Required

What percentage of your Board of Directors identify with the following: *

under 25%

In between 25-50%

over 50%

None

Are non-white

Have a disability

A part of the LGBTQ+ community

Have military affiliation (active & veteran)

Number of paid staff *

What percentage of your staff/leadership identify with the following: *

under 25%

In between 25-50%

over 50%

None

Are non-white

Have a disability

A part of the LGBTQ+ community

Have military affiliation (active & veteran)

Which best describes your organization's current status as it relates specifically to mentoring? *

Planning and designing a new mentoring program (not yet started)

Operating a mentoring program, but in need of capacity building support

Operating a well-established mentoring program (5+ years or older)

N/A: Our youth program intentionally integrates a mentoring component into our programming.

Have you worked with the Youth Mentoring Collaborative before?

Yes

Clear selection

Clear form

Never submit passwords through Google Forms.

This form was created inside of Youth Mentoring Collaborative. Report Abuse

Forms