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Apply to HER

Connect with Us

865 28th SE, #700, Grand Rapids, MI, USA | info@shementorher.com | 616-239-2323

She Mentor HER Application

Please complete this application to be considered for our program. Only include participant's information. You will complete a separate form for parent, school, and personal information.

Add 1 for US country code. Example: 1##########

Multi-line address
Birthday
Month
Day
Year
Choose your age group.

Pick your age range. Training is required and provided for all mentors. Undergraduate students are not required to mentor.

How did you hear about us?
School/Church/Organization
Friend/Family
Social Media
Website
Search Engine
Other
Level of Education/ Life Experience
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Our Services

Please fill out registration form 1, 2, or 3 to begin your journey with us!

Mentors and Mentoring Mentors

1. Complete Registration Form

2. Complete Criminal Background Check

3. Complete Photo/Image Permission

4. Complete Monthly Mental Health Assessment

Mentees

1. Complete the Mentee Registration Form

2. Complete Mentee Pledge

3. Complete Photo/Image Permission

4. Complete Monthly Mental Health Assessment

1

SMH Mentee Registration Form

TEACH HER

Mentees (Ages 9-18)

Mentees in this group focus on self-esteem, self-care, goal setting, and healthy boundaries.  

2

SMH Mentoring Mentee Registration Form

HELP HER

(Mentoring Mentees Ages 19-30)

Mentoring Mentees get help with goal-oriented skills like educational and career advancement and leadership development.

3

SMH Mentor Registration  Form

SUPPORT HER

Mentors (Ages 31+)

Mentors in this group receive help with life-enhancement skills, including therapy, money management, healthy habits, and relationship building.

Support Our Cause

Help Her: Heal.Excel.Radiate.

We would love to hear from you. If you have an idea, know someone who could use our help or would like to help, please contact us.

Email: info@shementorher.com

Phone: 616-239-2323

Registered Charity: 39-3021616

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