Aspiring Youth Academy "Aspiring Teen Leader" Mentorship Program Application

Thank you for your interest in becoming a mentee with Aspiring Youth Academy! Our mentorship program connects motivated teen leaders with passionate mentors to support their growth, goals, and entrepreneurial spirit — whether you're launching a business, exploring ideas, or building leadership skills that will serve you for life. Please complete the following application in full. Submission does not guarantee placement; mentee applications will be reviewed based on a variety of factors including mentor availability, program readiness, and alignment with our mission.

This field is for validation purposes and should be left unchanged.
Student Name(Required)
Student Email(Required)
Parent / Guardian Name(Required)
Parent / Guardian Email(Required)
Grade Level(Required)
Do you have a preferred mentor gender identity?
How often would you like to meet with your mentor?(Required)
When would you ideally like to begin your mentorship journey (if accepted)?(Required)

Your Leadership & Aspirations

Optional Demographic Info

This section helps us better understand and serve our community. Responses are optional and confidential.
Gender

Ethnicity
I agree to this policy.(Required)