KINNECTYOUTH Mentoring Volunteer Registration Form
Thank you for your interest in becoming a mentor for the Markham African Caribbean Canadian Association KinnectYouth Mentoring Program. The program is designed to help youth in care or contact with Children's Aid Society. The youth involved in this program need a consistent, caring mentor in their lives. Many are In order to determine a suitable match we meed you answer a few questions about yourself. Not only will you be positively impacting the life of a young teen, this experience will change your life!

*****Please note that this is a minimum 1 year commitment.

First and Last Name *
Your answer
Home Address and Postal code *
Your answer
Please provide your email address
Your answer
Contact telephone number *
Your answer
Are you between the ages of 20-45 *
What is your profession/occupation *
Your answer
Please explain why you would like to be a KinnectYouth mentor.
Your answer
What are your skills, talents, interests and hobbies. We would like to match you with a mentee who might share those same common interests. *
Your answer
Our program will be held each Wednesday evening from 6pm-8pm. There will be prepared programming. It is required that you connect with your mentee 2 times per month outside of the program. Please indicate your agreement to full participation in the program by putting a check mark in the boxes below. *
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