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Mentee Application

Mentor Chippewa* is a local non-profit, founded in Chippewa Falls. We work closely with local school systems to bring our school-based mentoring programs to their students and offer the opportunity for adults to connect with youth in a safe setting.

We value all kids, right where they are, while recognizing that school can be tough, and mentors can help tough days go better! Everyone can benefit from having a caring adult in their lives to help them realize that when days go better, years go better.

Our mentors have an interest in helping kids realize their full potential and become empowered members of our community. Matches meet at school, one day a week, for 30-minutes, during the regular school day, following the school calendar year.

We look forward to getting to know your student through this application process. If you have any questions about the application or program in general, please visit the connect page on our website and we will get back to you at our earliest convenience.

 *Mentor Chippewa is the parent organization for Mentor Menomonie, Mentor New Auburn & Mentor Stanley-Boyd.
Student Applicant Information
This question requires a valid email address.
This question requires a valid date format of MM/DD/YYYY.
calendar
Student’s Current Photo
*for internal use only*Allowed types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4
Max file size: 2 MB
Ethnicity
(Check all that apply) *This question is required.
Does your student speak any other languages? *This question is required.
If yes, what language(s)? *This question is required.
Which school system does your student attend?  *This question is required.