Mentoring Interest Form

if you are interested in serving as a mentor please leave your information below. We will use this information to contact you when mentoring opportunities arise. Thank you.

Question Title

* 1. Please leave your full name, email, job title, and city of practice

Full name:

Email address:

Job title:

City of practice:

Question Title

* 2. Which areas are you interested in mentoring in?

Lansing area

Detroit area

Flint area

I want to help bring the Face of Justice mentoring program to ___________.

Question Title

* 3. I am interested in helping with planning a Face of Justice event near me.

Yes

No