Mentee Application

First name

Last name

First and last name of parent/guardian and relationship to Mentee submitting application on behalf of minor.

Phone

Emergency Contact (if different)

Emergency Contact Number

Email

Address

Birthday

Month

Day

Year

Age

School Name

Grade Level

What are your favorite subjects in school?

What are some of your strengths?

Are you able to attend:

In-person sessions

Virtual sessions

School / Academics

Both

Are you willing to commit to participating in the program for at least 6–12 months?

Yes

No

Media & Photo Release (Optional)

Yes

No

What would you like us to know?

File upload

Parent/Guardian Agreement: I understand that: Sparkle Mentoring Program Participation requires consistent attendance and engagement I agree to support my child’s involvement and maintain communication with program staff

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Mentee Agreement: I Agree to be respectful to mentors, peers, and staff Participate actively and try my best Communicate openly and honestly Follow program guidelines

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I certify that the information provided is accurate and complete

I have read and fully understand the requirements of a Sparkle Mentoring Program mentee

I understand that submission of this application does not guarantee placement. Applications are reviewed to ensure the best fit for each participant. Some applicants may be placed on a waitlist based on availability.

Mentee Application

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