Y Mentor Interest Form
Thank you for your interest in volunteering in a Y mentoring program. All Y mentoring programs match adult volunteers to youth ages 14-17 who attend a Y Community School.  Reach and Rise one-to-one and group therapeutic mentoring are matching youth ages 7-17. We provide training and a complimentary Y membership for you and your mentee so you can participate in the many fun and enriching opportunities at the Y.

Please answer the questions below so that we may identify the mentoring program that's best suited to your interests. A member of our Y mentoring team will contact you within two business days to confirm receipt of your application and discuss next steps..

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First Name *
Last Name *
Email Address *
Best phone number to reach you *
Zip Code *
Date of Birth *
Gender *
Often times families are looking for a potential mentor who has a similar ethnic background as their child. What is your ethnicity? *
Successful mentoring relationships can range from 8 weeks to 1 year. How much time can you commit to being a mentor? *
 How many times a month are you willing to meet with your mentee? *
Do you anticipate a major life transition (marriage, job change, birth of a child, first year of college, etc.) within the next 12 months? *
Would you prefer to participate in one-to-one mentoring in the community or at a Y center, or group mentoring at a Y center? *
Often times mentees may be working through personal matters. As a mentor your support and understanding is critical. From the list of options below, please select the areas that are within your comfort level. *
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