Mentor Application Step 1 - Youth Assisting Youth
Celebrating 50 Years of Youth-to-Youth Mentorship
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Mentor Application Step 1

Thank you for your application to Youth Assisting Youth. Please provide your responses below. 

What is your official language of preference?*: Email*: First Name*: Last Name*: Phone (Please use this format: 4169321919)*: Date of Birth (You must be 16 - 29 years old)*: I Identify my Gender as*: Other*: Neighbourhood*: Neighbourhood - Other:* What's the closest major intersection to where you live?*: What distance are you willing to travel from your residence to meet with your mentee?*:
To select multiple items hold "Ctrl" on PC or "Cmd" on Mac as you click your selections
 What transportation method will you be relying on to meet with your mentee every week? (Select all that apply)*: What language(s) do you speak?*: Other Languages For funding purposes, Youth Assisting Youth (YAY) reports how many newcomer mentors we accept. Are you a newcomer? (YAY defines a newcomer as an individual that has lived in Canada less than 10 years and is not a Canadian Citizen)*: What is your immigration status?*: What is the date you arrived in Canada? (If you are unsure, please choose the approximate date)*: Please provide us with your country of birth*: Please provide us with your immigration number (UCI #): Why do you want to be a peer mentor?*: All YAY mentors are required to meet with their mentee on a weekly basis for 1 year, for a minimum of 10 hours per month. Do you agree to this requirement?*: Are you able to provide at least 2 professional references (e.g. from an employer, professor or volunteer supervisor)?*: How did you hear about Youth Assisting Youth?*: Other: Name of Volunteer Recruitment Coordinator:


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