Connecting Colorado’s Jewish Teens

Mentee Application

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Information about Parent/Guardian(s)

Emergency Contact
Application Questions - Please answer all of the following questions as completely as possible. Use as much space as you need – the more information we have, the better we will be able to match your child.
Medical History

Please read carefully before signing:

jHub Mentoring Program appreciates you and your teen’s interest in his/her becoming a mentee. This application is intended as a means of informing and gaining the consent of the parent/guardian to allow their teen to participate in the program.

After receiving this completed application from you, we will evaluate the information and send you a letter letting you know if your child has been accepted into the mentoring program. Much of the information you supply in this application packet will be used to match your child with an appropriate mentor. Therefore, the mentoring staff may, at times, need to access and share this information with prospective mentors and other parties when it is in the best interest of the match. However, we do not reveal names until there is an initial interest from the mentee, parent/guardian, and mentor based first upon anonymous information provided about each other.

I give my informed consent and permission for my child to participate in the jHub Mentoring Program a collaboration between jHub, Colorado Agency for Jewish Education, Hebrew Educational Alliance and Moving Traditions.

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