PREVENT Youth Mentorship Program

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PREVENT (Pathway to Recovery, Empowerment, Vision, Education, Nurture, and Transformation)

Need 4 Bridges' PREVENT is a Mentorship Program for youth and young adults impacted directly or indirectly by substance use, mental health challenges, housing instability, and systemic barriers. We are committed to being a bridge to opportunity, healing, and stability for individuals who need it most.

Need 4 Bridges is based in Fullerton, California, Need 4 Bridges serves Orange County and surrounding communities by providing guidance, connection, and hope to those facing systemic and personal barriers.

Please complete the application, and someone from our team will be in touch with you soon.

Thank you! We’re excited to begin building meaningful and lasting relationships together.

The Summer Program will meet on Saturdays from 9am - 1pm.

*Outings and field trips times will vary.

More information for summer will be provided

Email *

Parent/Guardian Full Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Mailing Address *

Preferred Language *

Relationship to Child *

What is the reason for Applying *

General Mentorship / Guidance

Improved Interpersonal Skills (Ex: Confidence, Self Esteem, Communication )

Improved Social Relationships

Academic Improvement

Behavior Improvement

Decrease Risk of Delinquent Behavior (Ex: Alcohol abuse, Drug abuse) / Gang Involvement

Unsure

Required

Child's First Name *

Child's Last Name *

Child's Birthday *

YYYY

Child's Gender *

Male

Female

Prefer not to say

Other:

Child's Ethnic Background

School *

Grade Level *

Youth's Mobile

Youth's email

I am interested in *

Summer Youth Mentorship Program (group)

1-on-1 Mentorship

Other:

Required

How are you Justice impacted? *

Been Arrested

On Probation

Incarcerated

Indirectly Impacted (Community or Family)

Never been impacted

Other:

Required

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