Whitney Young Academy

Mentor Application Form

Thank you for your interest and preliminary commitment to serve as a mentor with the Whitney Young Academy!

By completing this application, you acknowledge and/or confirm:

  • All information pertaining to your personal information, including name and age are true and verifiable.
  • Commit to the minimum time required of all mentors and the submission of the Mentor Engagement Form to track time with mentees.
  • Participation in any/all trainings and workshops
  • Adherence to all program and organizational guidelines, policies, and procedures.
  • Give permission to conduct criminal background check and child/adult abuse inquiry.