Application

Together our goal is to empower individuals to become confident, self-sufficient role models, leading to economic and social well-being. Our greatest success stories are those who amplify the ripple effect of our support and pay it forward by creating opportunities for others. Those who receive support from the Mentors Foundation are responsible for working with their mentor and the Foundation to maximize the experience and ensure their success.

In accepting support from the Mentors Foundation, the recipient agrees to fulfill the following responsibilities during their partnership with the Foundation:

- - Maintain contact with the mentor who nominated you.

- - Follow the recommendations of your mentor.

- - Provide photos and a story for Mentors’ website within six months of receiving an award.

- - Follow the Mentors Foundation Facebook page. Post updates and questions for other Mentors recipients’ responses.

- - Agree to serve as a mentor to someone else within five years.

- - Keep a journal or equivalent reporting on your experience, lessons learned, challenges, and successes.
  - At the end of your Mentors-funded experience, submit a brief report on your experience, lessons learned, challenges, and successes.

Mentors Foundation is a partnership with shared responsibilities between the mentee, the mentor, and the Foundation.

Note: Both the application and nomination forms must be submitted three weeks before the due date.

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Name

First

Last

Address

Address Line 1

City

State

Zip Code

Are you applying as

Mobile Phone

If other, please explain below

If student, which school?

Year in school?

If organization, name?

Is this your firest time applying for Mentors Foundation funding?

If no, what were your previously awarded?

Name of the mentor who nominated you.

First

Last

Applying for a

What are you requesting from Mentors Foundation? Be specific, including amount and duration.

Date needed by

How did you learn about the Mentors Foundation?

Other (please specify)

What is your passion?

What is the next step in living out yoru passion and achieving your goal?

How will assistance from Mentors Foundation help you become more self sufficient?

As you achieve your success, how will you pass on the gift of mentoring to others?

If student, please upload tuition statement

Click or drag a file to this area to upload.

If organization, please upload program budget

Click or drag a file to this area to upload.

in and to

Signature (Sign with finger)

Clear Signature

The information contained herein is true and accurate to the best of my knowledge. Please note while we strive to support as many applicants as possible we are unable to fulfill every funding request. Our decisions are guided by our mission, available budget, and alignment with our core objectives.

Date