Mentor Application

Community Based Mentor & Activity Volunteer Application

Welcome!

Thank you for your interest in our mentoring program and for taking the time to complete this application. All information provided will be kept confidential and used solely for the purposes of the mentoring program.

Before you begin, please note the following:

Our Community-Based Mentoring Program follows a one-to-one model. Mentors are matched with youth and are expected to spend time together weekly in the community.
Our Activity Volunteer (AV) role involves spending time with youth on the waitlist in a group setting 1–2 times per month.
Please note: We are not currently accepting AV applications. Our greatest need is for one-on-one mentors who can commit to a minimum of one year.
You will be asked to provide four references, including their names, email addresses, and phone numbers.
This application cannot be saved once started. Please plan to complete it in one sitting. It should take approximately 10–15 minutes to complete.

If you need assistance, please contact Gaby or Faith at 970-879-6141 ext. 304 or 301.

Thank you! We are thrilled that you’re considering making a difference in the life of a young person in our community. We look forward to meeting you!

Contact Information

First Name *This question is required.

Last Name *This question is required.

Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Street Address *This question is required.

Apt/Suite

City *This question is required.

Zip *This question is required.

Email Address *This question is required. This question requires a valid email address.

Primary Phone Number *This question is required. Please provide a 10-digit phone number including area code.
Enter numbers only. Formatting such as dashes will be added as you enter your phone number.

If you said other, please specify.

How did you hear about Partners for Youth? *This question is required.