Excel & Elevate Mentor Application 2023
Sign in to Google to save your progress. Learn more
Fill out all fields below. Once we receive your application, Higher Ground and its partners will review and be in touch with potential youth mentees.
Participation Criteria
We are currently accepting applications from youth that meet the following requirements:

1) Must be 14 - 24 years old

2) Must be a full-time resident of the City of Boston, be enrolled in high school or a GED/Alternative Education program and have proof of address from school documents.

3) Must be legally authorized to work in the United States.

Unfortunately we do not have the capacity to provide space for every youth applicant, so it is important you complete your application and submit supporting documents as soon as possible.
About Higher Ground
Boston’s Higher Ground, Inc. (“Higher Ground”) is a nonprofit organization in Roxbury,  Massachusetts with the mission to connect children, youth and families in Boston’s underserved communities to existing solutions and services that continue to improve,  avoid duplication, and empower and transform lives from cradle to career by engaging  community-based organizations and key stakeholders in an effective and efficient service  delivery model. The Higher Ground strategy falls into three main areas in which social,  educational, and economic disparities are challenged: Schools, Health Equity, and  Housing. Higher Ground recently marked its 12th year of operation and has  served more than 1,300 students in its partner public schools, has helped place more than 400 homeless children and their families into homes, collaborated with more than 64 partners to increase impacts on the well-being of children and families; and has organized parents  into an increasingly strong coalition to shift power and disrupt systems of inequity.  About Excel & Elevate Program Excel & Elevate (E2), a partnership between Higher Ground, Boston Partners in Education and the Department of Youth Engagement and Employment's SuccessLink Employment Program. Excel & Elevate is a mentoring and community engagement program that aims to improve connectedness to the school environment and peers, improved relationships with teachers and staff, academic performance, personal growth, artistic expression, future planning and goal setting, and social-emotional development. The program includes connecting youth with community-based mentors, providing academic support and building skills in ELA and math through online curricula and tutoring and providing opportunities for youth to participate in community engagement events and workshops.     The Excel & Elevate program will run between Monday, October 17, 2022 and Friday, May 12, 2023.  Youth employees will be paid $15.00/hour for a maximum of 10 hours per week (250 hours total). Individual start dates for youth employees may vary based on Criminal (CORI) and Sexual (SORI) Offender Background checks, clearance from the City of Boston’s Office of Human Resources, as well as the completion of all necessary hiring paperwork during employee onboarding and processing.   
Youth Name. Please provide the full name of the youth applying. *
Email *
Massachusetts Permit Application & Proof of Age Youth aged 14-17 years old must complete a Massachusetts Permit Application. Youth employees that are 18 years old before the start of the program do not need an employment permit.  If you are 14 or 15 years old and you DO NOT have a doctor's signature on your work permit application, please upload a current immunization record/school and camp form. The form must have been issued within the past year and must include a digital signature from your doctor.
In order to verify your age, send either a screenshot of your (1) State issued identification card, (2) BPS Aspen print-out with a date of birth, (3) Birth certificate or (4) Passport.

Email your completed Massachusetts Permit Application and proof of age to brandy@highergroundboston.org.
Address *
Neighborhood  *
Zip Code *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth. Please provide the name of the city and state where you were born.  *
Current Age *
Gender *
Name of School *
Student ID Number
What grade are you in? *
Number of Years in School *
What subject do you need help with? *
Emergency Contact Name *
Emergency Contact Phone *
Emergency contact email *
By completing this application, you are agreeing to the following: [Note: Each box must be checked for your application be to considered complete.] *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boston's Higher Ground. Report Abuse