Kingdom Youth Network Mentee Interest Form
This application is for prospective mentees between the ages of 10 to 18.

Thank you for your interest in being considered as a mentee for Kingdom Youth Network. We appreciate your thoughtfulness in completing this form so that we can learn more about your child and how we can assist their growth in a holistic approach. Please complete this form entirely with as much information as possible.

Upon completion, you will receive an email confirmation with your answers and our Chief Operating Officer, Charity Morgan, will be in touch soon. If you have any questions or concerns regarding your candidacy, please contact cmorgan@kingdomyouthnetwork.org.

Once again, thank you for your interest in being considered for this important mission.
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Email *
Name? *
First and last name
Age? *
Grade? *
School? *
Mailing Address? *
Date of birth? *
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Gender? *
Ethnic Origin? *
Race? *
Please select all that apply.
Required
Child's Cell Number (if applicable)? Otherwise, please write "N/A." *
Parent or Legal Guardian's Cell Number (if child is under 18)? Otherwise, please write "N/A." *
Child's Email Address (if applicable)? Otherwise, please write "N/A." *
Parent or Legal Guardian's Email Address (if child is under 18)? Otherwise, please write "N/A." *
How did you hear about Kingdom Youth Network? *
Why do you think you’d like to have a mentor? *
What type of person would you like to be matched with? *
Do you anticipate any difficulties in meeting with your mentor about two times a month? *
If you answered "yes" or "maybe," to the previous question, please explain below. Otherwise, please write "N/A." *
One of the program requirements is to communicate with KY Network staff once a month about your relationship with your mentor. Are you OK doing that? *
What types of activities would you like to do with a mentor? *
What hobbies or interests do you have? *
How would you describe yourself? *
How do you think friends and family members would describe you? *
What careers are you interested in? *
Between a scale of 1 being very uncomfortable to 5 being very comfortable, what is your comfort level with developing a relationship with God? *
Very uncomfortable
Very comfortable
Please tell us more about your friend group. *
As a mentee, you will be developing a plan with defined goals with your mentor. This plan may be a source of activities for your relationship between you and your mentor, who will be helping you achieve your goals. Is it OK to share your goals and progress with a parent or guardian? *
Is there anything else you’d like us to know before we move forward in the mentoring program? *
Please read this carefully before signing: By signing below, you attest to the truthfulness of all information listed on this application. You agree to let Kingdom Youth Network to confirm all information listed. I have read and understood the program’s rules, regulations, and responsibilities for becoming a mentee. If selected I will follow the rules of the program and be a dedicated mentee. I agree to the time commitment to my mentor of two (2) hours a month for the academic school year. I certify that I have read and agree with these statements. *
Name of person completing application? *
First and last name
Relationship to child? *
Date of completed application? *
First and last name
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A copy of your responses will be emailed to the address you provided.
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