JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kinskid Application 2023
Thank you for your interest in Kinship Youth Mentoring of Princeton. Please fill out this application and click submit at the end. If you have any questions, please reach out via email to info@kinshipyouthprinceton.org.
Have a great day!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Mentee's First Name
*
Your answer
Mentee's Middle Name
*
Your answer
Mentee's Last Name
*
Your answer
Preferred Name
*
Your answer
Gender
*
Your answer
Pronouns
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Mailing Address Street
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone number
*
Your answer
Email
Your answer
Mentee's Birthdate
*
MM
/
DD
/
YYYY
Does Parent/Guardian Work?
*
Yes
No
Workplace Phone Number
Your answer
Place of Work
Your answer
Can Parent/Guardian Be Called At Work?
*
Yes
No
Mentee's School
*
Your answer
Mentee's Grade
*
Your answer
Mentee's Teacher
*
Your answer
Family Status: Please circle as many as apply
*
Single
Married
Divorced
Seperated
Cohabiting
Widowed
Required
Spouse/Significant Other's Name (if applicable)
Your answer
Non-Custodial Parent's Name
Your answer
Please list names and ages of other children living in the home.
*
Your answer
Parent/Guardian's highest level of education:
*
Elementary
High School/GED
Technical College
College
Other:
Parent/Guardians College/Vocational Major
Your answer
Are you currently attending College?
Yes
No
Clear selection
How would you describe your child's personality? Check all appropriate responses.
*
Energetic
Shy
Outgoing
Follower
Nervous
Quiet
Cooperative
Talkative
Friendly
Confident
Leader
Aggressive
Athletic
Required
How do you think a Kinship mentor could help your child?
*
Your answer
Does your child have any additional considerations (health problems, allergies, learning disabilities, behavior disorders) a mentor should be aware of?
*
Your answer
What are some of your child's special interests or favorite activities?
*
Your answer
Does your child have friends?
*
Yes
No
Any close friends?
*
Yes
No
Are they the same age?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Princeton Public Schools, ISD #477.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report