First name *

Last name *

How old are you *

Desired age group to be paired with

Gender *

Are you married or single? *

Do you have any children? If so, how many? *

What is your profession? *

Mentees are looking for guidance and support concerning their academics and future career. Based on this, what are you looking to bring to your mentee? *

I understand that I will be assigned to a mentee with the same gender as me. *

I understand that I will have to do a soft background check and am willing to pay for the $30 expense *

I understand that I will have to sign a code of ethics statement. *

I did receive the handbook acknowledgment form. *

I understand that all of my interactions with my mentee are private and I am required to keep it between the YBF team and the family. *

I understand that I am required to sign a confidentiality agreement. *

Do you have any previous experience as a mentor? *

If yes, how long were you a mentor?

Describe your past experience as a mentor if any?

I understand that being a part of YBF's program will require my commitment for a minimum of 10 weeks *

Do you have any foreseeable conflicts? *

If previously answered yes, please explain

I understand that I have to be an example to my mentee and profanity is strongly forbidden. *

I understand that I entirely taking responsibilities for anything neglectful on my part that doesn't go with YBF's policies and procedures *

Meeting Options *

I 100% indemnify and assume all liabilities resulting from failing to follow YBF's policies and procedures. *