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Become a Mentor
Future Innovators Teen Mentor Program - Mentor Application
Please complete the form below to apply to become a Future Innovator’s Teen Mentor:
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
LinkedIn (optional):
Add
Remove
City/State of Residence:
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
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New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Mentor Availability & Preferences
How often are you available to meet with your mentee(s)?
Weekly
Bi-Weekly
Monthly
Do you prefer virtual, in-person, or hybrid mentorship meetings?
Virtual
In-person Only
Hybrid (flexible)
Are there any particular areas or themes you feel most passionate about mentoring in?
Entrepreneurship & Startups
Leadership & Communication
College or Career Exploration
Financial Literacy
Personal Growth & Confidence
Creative/Arts Entrepreneurship
Technology & Innovation
Other
Select all that apply.
If Other...
Experience & Background
Are you currently mentoring with any other organization or program?
Yes
No
If yes, where and in what capacity?
Are you currently teaching or working with youth?
Yes
No
If yes, where?
Do you have experience mentoring in the past?
(This may include formal or informal mentoring — from internships to coaching to life mentorship.)
Have you ever had a mentor in your life (formal or informal)?
What impact did that relationship have on you?
Why do you want to become a mentor with Aspiring Youth Academy?
What do you hope to gain or learn from this experience?
What is your current title, organization, and any relevant websites or LinkedIn profiles?
Commitment & Screening
Aspiring Youth Academy requires all adult mentors to pass a background check. Are you willing to cover the cost of your background check (approx. $30)?
Yes
No
Do you currently have a valid Arizona Fingerprint Clearance Card?
Yes
No
If yes, please upload your identification number here:
(Required)
Can you commit to mentoring consistently for at least 6 months?
Yes
No
Maybe (please explain)
Maybe (please explain):
Optional Demographic Information
This section is optional and helps us foster diverse and inclusive mentor-mentee matches.
Gender Identity:
Race/Ethnicity:
Languages Spoken:
Do you identify as a first-generation college graduate?
Yes
No
Prefer not to say
Do you identify as a first-generation entrepreneur?
Yes
No
Prefer not to say
Final Questions
Is there anything else you’d like us to know about you, your story, or your motivation to mentor with AYA?
How did you hear about Aspiring Youth Academy?
Were you referred by anyone we can thank?
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