Step 1 of 9

  • Child Application

    This application will take approximately 30 minutes to complete, it allows the agency to have a strong understanding of you and your child prior to interviews and matching in a mentoring program. Please fill out to the best of your ability and staff will contact you within 2 business days of receiving your application. All information remains confidential until a caseworker discusses what may be disclosed to a mentor with your approval.
  • Parent/Guardian Information

  • This cannot be the parent/guardian. The agency will make every effort to connect with parent/guardian, this will be in case we are unable to contact you.
  • How is this person known to your child?



When applying for our programs, a mentee must be between the ages of 6 and 16 years. The mentoring relationship can be supported by the agency through to 18 years of age.

An Enrollment Coordinator will work with you and your child to review your situation and determine how a mentor would be of benefit. Factors that would be considered regarding your child’s needs include:

  • Parent or guardian support
  • Adult involvement other than the parent(s) or guardian(s)
  • Peer relationships
  • School performance
  • Involvement in community activity
  • Living environment
  • Ability to form and maintain a healthy, safe relationship
  • Ability to perform self-care