Teen Mentee Form

I want a mentor!

I am a teen (or parent of a teen) and want to sign up for a future mentor match! Matches will meet on a weekly basis and we will reevaluate at the end of each year.

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Thank you for your response. ✨

Guardian Name(required)

Guardian Email(required)

Teen Name(required)

Teen Email(required)

Guardian Phone Number

Teen Phone Number

Assigned at birth sex

Select one option Female Male

How old is the teen wanting a mentor (grade and age)?

Where are you located?

Select one option McPherson/Elyria/Windom Canton/Galva Moundridge/Inman Lindsborg/Marquette

Teens race or ethnicity (if you wish to attempt a match by culture- This is not guaranteed)

Language Preference

Your Hobbies and Interests

Visual Arts Film/Movies Volunteering Reading Video Games Music Sports Band Basketball Football Track Golf Swimming Baseball/ Softball Tennis IT Physical Fitness/Working Out Gardening Sewing/Knitting/Crochet Cooking Writing Photography Community Involvement Outgoing Shy Loves Animals

Other Interests

When can you meet? Choose as many as available.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

SubmitSubmitting form

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1455 N Main St
McPherson, KS 67460, USA

thehangoutmac@hangoutmac

(620) 241-2675