Apply to be a Mentor

The following information will be used to create your profile. Data submitted on this page will not be visible to site visitors.

Name*
First Last
Date of birth*
MM slash DD slash YYYY
Native Language*
Home phone*
Mobile phone*
Email address*
Enter Email Confirm Email
Street Address*
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City*
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State*
This field will not be visible to the public. You must be a resident of the state of Idaho.
Zip Code*
Gender*
- Female
- Male
Marital status*
What are the ages of your children?*
Please provide gender (male/female) and ages of each child.
Male or Female Age
Tell Us About Yourself
1. Why do you want to be a family mentor?*
2. Tell us about any educational, volunteer or professional experience, passions, and/or interests.*
3. Do you hold any professional licensing, certifications, or training that could come in handy as a parent mentor?*
4. What life experiences have prepared you to be a mentor?*
5. Every one passes through adversity. Share a time you faced adversity. What lessons could you pass on to another who is passing through their own struggles?*
6. What activities do you enjoy doing in your spare time?*
7. Growing up, who had a strong influence upon you, either positive or negative?*
8. What skills do you possess that would be beneficial to the families we serve?*
9. Have you ever been involved with CPS or law enforcement in the past? Either positively or negatively.*
10. Are you willing to attend quarterly trainings and an occassional class or event with your mentee?*
11. Are you comfortable with the possibility that your mentee could become a life-long friend and connection?*
Credit Card*
Card Details
Cardholder Name
Registration fee
Registration Fee
This fee covers your background check.
$0.00
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Male or Female	Age

Tell Us About Yourself