Find a Mentor

“A mentor empowers a person to see a possible future, and believe it can be obtained.”

~ Shawn Hitchcock

Thank you for choosing Valor Mentoring! This form collects information for the purpose of identifying or classifying the best matching mentor for you. This matching form helps us understand the key focus of the mentoring program and the kind of approach your potential mentor will make that can help you excel. This form not just helps us find you a suitable mentor, but it also helps us find a well-suited person having similar interests that can help you become comfortable and be able to express yourself.

Personal Information

We're excited to partner with you! Let's start with some personal information to help us get to know you.

First Name

Last Name

Date of birth

Email *

Address

City

State

Postal code

Ethnicity

Do you have any allergies?

Do you receive lunch/meal assistance at school?

Yes

No

Not applicable

Name of Current School

If you're in middle or high school, what is your student ID number?

Gender

Primary Language

Ethnicity

Primary Religion

How did you hear about Valor Mentoring?

Availability

Next are some questions about your availability to help us get a better idea of how to schedule you.

What days are you available?

What times are you available?

Transportation

Do you have public transit available?

What kind of transportation is available to you?

Interests

What are some of your interests or hobbies

Career-Focused Interests?

Feel free to tell us more about your interests

Primary Emergency Contact Info/Guardian Info

Name

Their Relationship to you

Phone Number

Email

Guardian Name

Guardian Street Address

Guardian Address: City

Guardian Address: State

Guardian Address: Postal Code

Guardian Email

Guardian Phone Number

Guardian Relationship

Almost Done

Just one more question left!

Why do you want a Mentor?

Thanks for applying to be a mentee with Valor mentoring!

Mentoring Matters. Here's how it works:

Step 1

Apply To Be A Mentor

Step 2

Go Through Approval And Training Process

Step 3

Make An Impact

Make an impact today.

Become a mentor.

Valor Mentoring

3500 River Rd N

Keizer, OR 97303

Text or Call:

503-383-9826

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