Horton's Kids Mentor Application

General Information

Thank you for your interest in becoming a Horton's Kids Mentor!

The Mentoring Program relies on adult volunteers to commit to supporting, guiding, and being a friend to an HK teen for a period of at least one year. By becoming part of the social network of adults and community members who care about our young people, Mentors help youth develop and reach positive academic, career, and personal goals.

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1. First Name (Required.)

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2. Last Name (Required.)

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3. Date of Birth (Required.)

Horton's Kids prefers that Mentors are at least 25 years old.

Date

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4. Phone Number (Required.)

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5. Email (Required.)

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6. If you are selected to be a Horton's Kids volunteer, will you be able to submit proof of being fully vaccinated against COVID-19? (Required.)

Yes, I can provide proof that I am fully vaccinated against COVID-19.

No, I am not fully vaccinated.

Horton's Kids Mentor Application

General Information

Question Title

* 1. First Name (Required.)

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* 2. Last Name (Required.)

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* 3. Date of Birth (Required.)

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* 4. Phone Number (Required.)

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* 5. Email (Required.)

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* 6. If you are selected to be a Horton's Kids volunteer, will you be able to submit proof of being fully vaccinated against COVID-19? (Required.)

1. First Name (Required.)

2. Last Name (Required.)

3. Date of Birth (Required.)

4. Phone Number (Required.)

5. Email (Required.)

6. If you are selected to be a Horton's Kids volunteer, will you be able to submit proof of being fully vaccinated against COVID-19? (Required.)