Skip survey header

Mentee Application

Welcome, thank you for your interest in the Mentor Chippewa program. Mentor Chippewa is a community nonprofit organization that provides the structure and support for a school-based mentoring program. Mentor Chippewa thoroughly screens, trains, and provides ongoing support for mentors who are matched one-on-one with a student mentee to provide an additional source of support and encouragement during the regular school day. Matches focus on creating genuine connections and building a meaningful relationship with the ultimate goal of empowering the student to become the very best version of themselves both in and out of school.  

Mentor Chippewa matches meet only on school grounds, during the regular school day, one day a week for 30-minutes. 

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 contact page on our website and we will get back to you at our earliest convenience.
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 PhotoAllowed 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.
Has your student experienced any of the following challenges in their life: 
(Check all that apply) *This question is required.
0%