TAY Peer Mentee Application
The TAY Peer Mentee Program is a 6 - week training cohort for young adult allies and young adults (ages 18-23) that have lived experience with a mental health diagnosis and/or emotionally/mentally impacted by trauma, and/or other adverse experiences.
TAY Peer Mentees meet once (1) a week for  2-Hours and will gain leadership skills, community organization skills, job readiness skills, and then use those skills to facilitate wellness workshops and create community events.

Schedule: 1 time a week (Wednesday)
Time: 3:30pm - 5:30pm
Paid: $200.00 per 6- Week Cohort

Email address *
Full Name
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Address ( Street - Apt/Unit # )
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Address ( City and State )
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Address ( Zip Code )
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Phone Number
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Email
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Birth Date
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Age
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School(if applicable):
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Emergency Contact Name / Relation
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Emergency Contact Phone Number
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What strengths would you bring as a PEERS TAY Mentee?
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Why do you want to become a PEERS TAY Mentee?
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A copy of your responses will be emailed to the address you provided.
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