Mentee Application

Thank you for your interest in enrolling your child to benefit from a volunteer Mentor with Companions for Children. After submitting the information below, our staff will be in contact to ensure eligibility and to complete the enrollment process.

What program are you applying to? *This question is required.

Parents/Guardians,

Your child is invited to participate in Companions for Children's StrongHER Program, a new mentoring initiative

exclusively for middle school girls. StrongHER is designed to empower girls through mentorship and hands-on learning.

The program will take place during the school day and includes four 45-minute sessions held during the spring

semester.

Each session will feature engaging discussions and activities focused on building confidence, developing leadership

skills, and promoting healthy relationships. Female mentors from the community will take part in the program to provide

positive role models and guidance throughout the sessions.

This pilot program is free to participate in, made possible through grant funding from the Minot Area Community

Foundation's NWND Fund for Girls.

Child's Information

First Name *This question is required.

Middle Name *This question is required.

Last Name *This question is required.

Preferred Name (if different from above):

Pronouns *This question is required.

Please enter an 'other' value for this selection.

If you said other, please specify. *This question is required.

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

calendar

Child's School *This question is required.

If you said other, please specify. *This question is required.

Does the child have their own phone? *This question is required.

Child's 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.

Check Yes to Opt In to receive text messages *This question is required.

Has the child ever been involved with the police of juvenile justice system? *This question is required.

Please provide dates and details. *This question is required.

Does the child have a parent/guardian who is currently incarcerated or has been in the past? *This question is required.

Please provide dates and details. *This question is required.

Tribal Affiliation *This question is required.

What tribe? *This question is required.

Mentee Application

Welcome