Indiana Youth Institute: Share Your Story

Find a Mentoring Opportunity
Zip Code:
Distance:
Location:

Program Type:

Ages of Youth Served:
7 and under 8-10 11-14 15-18 All of the Above

Welcome! > Indiana Mentoring Partnership > About Us > Share Your Story

Does your program have a mentor/mentee story to share?
Letting others know about such stories within your program can help provide a better understanding of
just what mentors do and how the experience has impacted both your program and those you serve.

In celebration of National Mentoring Month, the Indiana Youth Institute and Indiana Mentoring Partnership
will be promoting mentoring programs across Indiana through our Web site and additional media outlets.

In the effort to gather local stories, please complete this form so that we might contact you to learn more.
(If you prefer, you may download the form to fax or mail in).

* - Denotes required field.

First Name:*
Last Name:*
Title:
Organization:*
Address:*
Address 2:
City:*
State:*
Zip:*
Indiana County:*
Phone with area code:*
Fax with area code:
Email:*

MENTOR INFORMATION:
Name of Mentor:*
Phone Number of Mentor with area code:*
Email of Mentor:*

MENTEE INFORMATION:
Name of Mentee:*
Phone Number of Mentee with area code:*
Guardian’s Name:*

PARAGRAPH SUMMARY OF MENTOR/MENTEE RELATIONSHIP (How long they have known one another? What do they do together? How do they describe their friendship?)*

Have you or your organization used IYI before? Yes No Unsure

Please click on the submit button only ONCE!