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Magic of Mentoring 2023 Program Ticket Request
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1.
Name of Program
(Required.)
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2.
Program Status
(Required.)
Active
Inactive (please explain below)
Additional Comments
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3.
Program Type (check all that apply)
(Required.)
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?
(Required.)
Yes
No
Not Sure
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5.
Does your program adhere to the research-based practices outlined in the Elements of Effective Practice for Youth Mentoring?
(Required.)
Yes
No
Not Sure
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6.
Approximate number of youth served by your program in the 2022 calendar year.
(Required.)
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7.
Approximate number of mentors in your program in calendar year 2022.
(Required.)
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8.
Does your program have a waiting list?
(Required.)
Yes
No
Not Sure
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9.
Are you interested in learning more about (check all that apply):
(Required.)
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.
(Required.)
Name
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Mailing Address
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Address 2
City/Town
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State/Province
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ZIP/Postal Code
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Email Address
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Phone Number
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