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
Address ( Street - Apt/Unit # )
Address ( City and State )
Address ( Zip Code )
Emergency Contact Name / Relation
Emergency Contact Phone Number
What strengths would you bring as a PEERS TAY Mentee?
Why do you want to become a PEERS TAY Mentee?
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of PEERS.
Terms of Service