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Behavioral Health Mentor Application

Thank you for your interest in becoming a behavioral health mentor for the Grow Our Own project! Mentors who participate in the Grow Our Own Behavioral Health Providers initiative are professionals from northwest Michigan who are interested in engaging with high school students on career readiness opportunities and helping them to explore their career interests within the behavioral health field. Each mentor is matched with one high school fellow who is interested in exploring a behavioral health-related degree program and career for one academic semester, with the option to extend their mentorship period beyond this initial commitment.

Mentors will:
- Meet with their assigned fellow 3 times within an academic semester, either virtually or in-person, or over the phone.

- Help their fellow explore behavioral health-related degree and career opportunities, including scholarship opportunities and loan repayment programs.

- Connect their fellow to at least one educational and/or job shadowing opportunity per semester that will allow them to develop skills needed by behavioral health professionals.

Mentors will have access to:
- Information on Michigan-based behavioral health degree programs and scholarship opportunities.

- Virtual educational opportunities for fellows to participate in.

- Job shadowing opportunities for fellows to participate in.

- Information on loan repayment programs that behavioral health professionals are eligible to participate in.

Please fill out the form below to become a mentor. Once we receive your application, a member of the Behavioral Health Initiative staff will contact you about next steps. Contact behavioralhealth@northernmichiganchir.org with any questions you might have.
1.Name(Required.)
2.Email Address(Required.)
3.Phone Number(Required.)
4.Organization(Required.)
5.Job Title(Required.)
6.What county do you work in?(Required.)
7.Please tell us about your professional background. Include information on your educational experience/credentials, behavioral health career experience, and any other information you feel might be relevant.(Required.)
8.Mentors will be provided with information on Michigan-based behavioral health degree programs and scholarship opportunities, virtual educational opportunities for fellows, job shadowing opportunities for fellows, and information on loan repayment programs that behavioral health professionals are eligible to participate in.

What other information/resources would you find helpful to have to share with your fellow?(Required.)
9.Once you are matched with a high school fellow, what meeting format(s) will work best for you to meet with them? Select all that apply.(Required.)
10.Once you are matched with a high school fellow, what days of the week might work best for you to meet with them, either in-person, virtually, or over the phone? Select all that apply.(Required.)
11.Once you are matched with a high school fellow, what time of day might work best for you to meet with them, either in-person, virtually, or over the phone? (Select all that apply)(Required.)
12.Please share any questions or additional information you would like to be aware of below.