 Women at least 25 years old (mentor assistants must be at least 18 years old).

 A desire to work with young ladies ages 11-17.

 Must be a Metro Atlanta resident.

 Pass a criminal background check (applicant is responsible for $25 processing fee).

 Provide 3 verifiable professional references.

 Consistent attendance at scheduled events.

 Open and transparent with sharing life and personal experiences.

 Non-judgmental and willing to work with youth from different ethnic, cultural and socio-economic backgrounds.

* Please fill in the form below in its entirety. A mentor will be in contact with you.*

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Employer & Position

Please provide three professional references. Name and Contact Information.

Hobbies & Interests

Why are you interested in being a mentor?

Have you ever been a mentor? volunteered? worked with youth?

Yes

No

What qualities, skills, attributes do you feel make you a good mentor?

Are you willing to submit to a background check?

Yes

No