YOUTH INTEREST FORM

This form is for youth who are interested in joining Power ON!

If you are in immediate danger, please call 911

Power ON! is a community mentoring program that strives to emPOWER youth to live a life filled with confidence, safety and self-respect. In this program, you will be matched with a trained Power ON! Mentor, for at least one year. Throughout your mentorship, you will have direct access to community resources you need, and a safe environment, while building a relationship with your trained Power ON! Mentor.

As a Power ON! Mentee, you will begin a journey designed to emPOWER you to become your best self. If you are interested in becoming a Power ON! Mentee, please fill out the form below. The following questions are designed to understand your needs, so that we can match you with the proper mentor and services.

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