Mentor Application Step 2 - Youth Assisting Youth
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Mentor Application Step 2

Thank you for your application to Youth Assisting Youth. Please provide your responses below. To select more than one response, please press and hold the Ctrl or Cmd Key as you click to make your selections.​

Please select the days and times you are able to spend 3 hours with your mentee per week (if you have an irregular schedule due to work or other commitments, select any times where you might be free)*: Best time to call (select all that apply)*: Home Address (Unit/Suite, Street Number, Name i.e. 400 - 5734 Yonge Street)*: Home Address (City)*: Home Address (Province)*: Home Address (Postal Code)*: Are you planning to move within the next year?*: Will you be moving outside of Toronto, Etobicoke, Scarborough, or the York Region area within a years time?*: Where will you be moving to?*: Are you currently enrolled in school and/or planning to attend in the fall?*: Name of School?* What is your highest level of completed education?*: Other*: Are You Employed?*: Employer - Name*: Employer - Job Title*: Do you have volunteer experience?*: Organization Name: Volunteer - Job Title: Do you live with anyone? Youth Assisting Youth (YAY) asks this question due to the safety of our kids. Mentors are allowed to take their mentees to their home, therefore, YAY, mentee, and mentee's family members need to know if a mentor lives with anyone*: Please list the names of the people with whom you live with and their relationship to you (i.e. Tom Smith - father). Due to the safety of Youth Assisting Youth's kids, YAY requires mentors to list the names of the people they live with and the relationship to them. Mentors are allowed to take their mentees to their home, therefore, YAY, mentee, and mentee's family members need to know who the mentor lives with and the relationship to the mentor*: Do you have any disability(ies) that could affect your ability to be a mentor? A disability is only relevant if it threatens the safety or property of others and/or prevents the applicant from safe and adequate job performance even when reasonable efforts are made to accommodate the disability*: Please explain the disability(ies)*: Are there any medical condition(s) that Youth Assisting Youth, mentee, and mentee's family member's should be aware of? (i.e. allergic to tree nuts and/or peanuts, epileptic)*: Please explain the medical condition(s)*: Females Only, Occasionally, the need arises for cross-gender matching. Are you comfortable being matched with a boy 10 years old or under?*: Are you fully COVID-19 Vaccinated?*: What is your mentee age preference? (Select all that apply)*: Below are some common challenges the youth face, which are you comfortable with? (Select all that apply, To select multiple items hold "Ctrl" on PC or "Cmd" on Mac as you click your selections)*: Other*: Are you willing to travel to see your mentee?*: Describe your hobbies or any extracurricular activities that you are involved in*: What support (parent or otherwise) do you have that will enable you to be a role model in this one to one mentoring program - emotional, mental, financial, etc.?*: What qualities are you looking for in a match with a child (e.g. personality type, hobbies, activities, ideal age, etc.)*: What are your future career goals?*: What steps (if any) have you taken toward reaching this goal?*: We are always seeking new opportunities to recruit volunteers. Can you provide the contact information of someone who we might contact to recruit in a workplace or school? (e.g. the Human Resource Manager at yours or a parent's or a friend's workplace): Have you ever been accused, arrested, convicted or pardoned of a criminal offence?*: Date of Offence*: Offence Specifics*: Have you ever been accused, arrested, convicted or pardoned of a sexual offense involving a child or children?*: Date of Sexual Offence*: Sexual Offence Specifics*:
You are required to have two professional references from a volunteer, academic or relevant source. Please be advised that a link to a Google Form will be provided for your references. Youth Assisting Youth will provide you with a verbal or written volunteer reference once you have completed the one year commitment.
If I end my match within 6 months of receiving my Toronto Police Check then I agree to reimburse Youth Assisting Youth the fee incurred*: Yes, I understand that I require a Vulnerable Sector Police Check to work with children and youth. (This form is available from our staff)*: Yes, I understand that YAY follows a strict matching process and a waiting/processing period does apply. I am willing to wait If there are currently no youth mentees waiting for a mentor in my geographical area*: Yes, I will follow up with my Recruiter/Case Coordinator monthly to check on the status of my application or to update them on my match*:
I certify that the information that I have submitted so far in this form is correct, and I understand that once I am accepted as a volunteer I will be required to: (1) Commit to meeting with my mentee on a consistent weekly basis, including an average of 10 hours per month for a minimum of 1 year; (2) Maintain regular contact with my Case Coordinator throughout the match; (3) Attend a full day Training Workshop that includes child engagement, culture and diversity, child abuse; and, (4) Attend follow up workshop on Mental Health and Learning Disability. Further, I understand that filling out this application puts me under no obligation but merely expresses an interest. I also understand that this application does not guarantee acceptance into the program, and that Youth Assisting Youth is under no obligation to accept or assign me as a volunteer in their program and is not obliged to provide a reason. I also acknowledge and accept that this file is the property of this agency and should my references indicate personal attributes not acceptable to the organization the application process shall be terminated. However, if I am accepted, I understand that Youth Assisting Youth is responsible for the welfare of any child who may be entrusted to my care. I hereby grant them permission to assign a child to me in a mentoring relationship. I also grant them permission to terminate this relationship, as they deem necessary. I also agree to abide by the philosophy, goals and general policies of Youth Assisting Youth. I also understand that my signature on this application form is giving my consent for a staff member from Youth Assisting Youth to conduct a phone interview with my references and to consult with personnel either at my school or place of employment, etc. about my application to become a Youth Volunteer with Youth Assisting Youth.
I understand and agree with the above statement and accept and understand that selecting "yes, I do accept" acts as the legal equivalent to my signature*: Volunteers under the age of 18 years old, Signature of Parent: I accept and understand that selecting "yes, I accept" acts as the legal equivalent to my signature*: Do you consent to this information being shared with our funders? (Please note: This information will not be used to solicit any additional services or business and will not be sold to any third party entities for any other purposes - funders may contact you to ask about Youth Assisting Youth and it's services only)*:
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