Youth partnership Interest formplease fill this out to help your mentor better prepare for your initial meeting. Name * First Name Last Name Youth Email * Parent/Caregiver Email * Phone Country (###) ### #### Please select a Mentor * Lou Dan Alex Fran Mel Bria Lane What kind of support are you seeking from your mentor? * Academic Social + Emotional Goal Setting / Future Planning Gaming Body Doubling Specific Shared Interests other List Other here: What are your current interests, hobbies, and curiosities? * How do you like to learn? * What is an average "day in the life" for you? (include wake-up time, meals, and bedtime) * How did you hear about us? * I know a guy... Instagram Discord Patreon Please share anything else you'd like your mentor to know about you Thank you! Your mentor will receive your interest form within 24 hours. You can head to their calendar and select a time slot that works for you.