Magic of Mentoring 2023 Program Ticket Request

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* 1. Name of Program

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* 2. Program Status

Active

Inactive (please explain below)

Additional Comments

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* 3. Program Type (check all that apply)

Group Mentoring

e-Mentoring

One-to-One

Peer Mentoring

Everyday Mentoring

Team Mentoring

Other (please specify)

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* 4. Does your program require all volunteers to complete a screening process and receive mentor training before being matched?

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* 5. Does your program adhere to the research-based practices outlined in the Elements of Effective Practice for Youth Mentoring?

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* 6. Approximate number of youth served by your program in the 2022 calendar year.

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* 7. Approximate number of mentors in your program in calendar year 2022.

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* 8. Does your program have a waiting list?

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* 9. Are you interested in learning more about (check all that apply):

TMP's no-cost technical assistance available via the National Mentoring Resource Center

TMP's training curriculum for both program staff and volunteer mentors

TMP's training curriculum for youth

Resources and trainings about how to support youth mental health through mentoring

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* 10. Please share your contact info and the mailing address where tickets would be sent.

Name *

Mailing Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *