Thank you for considering serving as a mentor to a youth in our community. Mentors play a vital role in the lives of young people, offering guidance, encouragement, and a consistent positive presence. We're glad you're here.
Mad River Mentoring is committed to fostering an environment of diversity and inclusion for all. Our mentor and mentee eligibility will not be determined based on race, color, gender, sexual orientation, or disability. Our program director will be in touch with next steps after this application has been submitted.
Mentors must be 18 or older.
Please list any addresses where you have lived in the past 5 years (city & state is fine).
Check this if your mailing address is the same as your home address above.
e.g. travel requirements, evening hours
Please list the people who live in your household (name, age, and relationship to you).
Please provide three non-family references who have known you for at least one year.
Are there any limitations or challenges that might affect your ability to mentor (e.g., schedule constraints, health considerations)?
These help us find a great match.
A full background check will occur as part of the application process. Please answer the following questions as part of our preliminary screening. Answering yes does not mean that you will not be considered as a candidate, but it will lead to further discussion.
Is there any other information you feel we should know as we review your application?
This information is collected for grant reporting and program evaluation only. All fields are optional and will not affect your application. Your responses are stored securely and encrypted — they are never shared and are only accessible to the Mad River Mentoring program director in the course of program administration.
Select all that apply.
By submitting this application, I certify that all information provided is true and accurate to the best of my knowledge. I understand that Mad River Mentoring will conduct a background check as part of the application process and that falsification of any information is grounds for disqualification or removal from the program.