Bootcamps For Change
Mentor Application Form

Are you a well-rounded fitness professional looking to increase your impact on your community? We are looking for individuals who are established in their careers, share similar goals and interests with our youth, have flexibility, are open-minded, and non-judgmental, to mentor our youth. Apply to become a Youth Mentor and make an impact on the future of a youth today.

Youth Mentors commit to an average of 30-40 hours over the course of 3-6 months. Our mentorship program matches our youth employment program participants with adult role models in the industry who provide both positive life and career advice, in addition to a listening ear. The program helps our scholarship recipients establish valuable relationships and improve their outcomes in the industry.

if you choose Other please specify in the field below.
If yes, please explain below:
separate each handle using a comma
Choose the highest level of education completed:
separate each using a comma
separate each using a comma
separate each using a comma
If yes, please explain below
If Yes, mention below who was it validated by? Please include the specific city and province police department.
If you choose Other, please explain below
if you choose Other, please specify below
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
Selected Value: 0
From a scale of 1 to 5, with 1 being not knowledgeable in this area and with 5 being very knowledgeable in this area, please rate your own perceived knowledge.
if yes please explain below
If yes, please specify below:
If yes, please specify below:
If yes, please state the name and why in the field below:
If yes, please specify below:
If yes, please state the name and why in the field below:
The information on this form will be used by Bootcamps For Change to assign you with a homeless youth individual. By completing this form, it is expected that you will actively participate in the mentoring process and that you agree to the goals and purpose of Bootcamp for Change's mentoring program.