Y Mentor Interest Form
Thank you for your interest in volunteering in a Y mentoring program. All Y mentoring programs match adult volunteers to young people ages 6-18. 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..

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Best phone number to reach you *
Your answer
Date of Birth *
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Zip Code *
Your answer
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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