MentorConnect Home Mentor Application Mentor Evaluation Student Application Parent Evaluation MentorConnect Vision
MentorConnect Links Partner Application Partner Evaluation

Youth Mentoring and Community Service Program

(513) 907-0120



Serve your community

Fill out the form below.  You will be paired with a young person, in your area, who wants to develop his or her skills in academics, athletics or arts.

Sign up, today...


 

All participants will:

1. Be in school or college; enrolled at least part-time

2. Obtain an
 FBI background check, if 18 years of age or older. (Through MentorConnect, background checks are free in Montgomery County, Ohio)

3. Submit the name and e-mail address of an adult who has can vouch for your skills and character or attend a phone or personal interview with MentorConnect

4. Attend 90-minute mentor-training

5. Have a ten-hour lesson plan with short-term goals for the required ten weeks of skill training (Instructions are available) and a long-term goal for the final session

6. Commit to providing twelve hours of service enthusiastically (be on-time, plan interesting lessons, and measure your own success),  within the guidelines and procedures set forth by MentorConnect, based on best practices of the National Mentoring Partnership

7. Evaluate the mentoring or community service experience every two weeks

If you have questions about the MentorConnect 
youth mentoring requirements, please send an email; together, we can try to make it work

 

Mentor Application

E-mail is the preferred method of contact; if you have one, include it.  If you do not have an e-mail address or prefer phone communication, you can include that instead.

First Name:
Last Name:
Age:
E-mail Address:
Home Address:
City:
State:
Zip Code:
Alternative Contact method (enter ten-digit phone number, if phone communication is preferred):
Mentoring Activity/Subject::
School or other affiliation:
Sponsor's Name (Your sponsor is an adult who can vouch for your skills and character):
Sponsor's E-mail Address:
Alternative Mentoring Activity/Subject:
Sponsor's Name:
Sponsor's E-mail Address:
What year are you completing?:
How many service hours do you need? (please explain briefly):
You are:

 E-mail MentorConnect, if you have any questions. Your privacy is important. View the MentorConnect Privacy Policy.