Become a Mentor!
Please fill out the following information so we can contact you about becoming a mentor. If you have any questions, feel free to email Brandon Summers at

Requirements to become a mentor:
*Visit your assigned youth once a week for an hour
*Pass a background check
*At least 18 years of age
*Matched with your assigned youth for a minimum of 1 year

First Name: *
Your answer
Last Name: *
Your answer
Age: *
You must be 18 years old to become a mentor.
Your answer
Gender *
Phone Number: *
Your answer
Email: *
Your answer
Are you a student?
If so, what school are you attending?
Do you own a vehicle that you can drive? *
Please note you are required to go to your assigned youth's home and bring them to activities throughout Utah County. A reliable form of transportation is required.
Do you speak a language besides English?
Your answer
How did you hear about the program? *
Why do you want to be a mentor? *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.