Mentee Application

Please complete the mentee application below and click submit. You will receive an email confirmation and will be contacted by a member of Men In The Making as soon as possible.

Our progressive approach to role-modeling and wrap around supports offers boys and young men an environment of hope and excellence. We are also seeking mentors to join our dedicated team as speakers, volunteers, and role-models.

You’ll find our creed and upcoming schedules below.

Mentee Application

Today's Date

Youth's Information

Age *

Grade

Full Name *

Name For ID Badge *

Youth's Email Address *

Youth's Cell Phone *

School Information

School

Principal/Advisor

Upload Your Report Card *

Click or drag a file to this area to upload.

If you have the participant's latest report card please upload it here.

Parent/Guardian Information

Home Address *

Address Line 1

City

State

Zip Code

Parent/Guardian Name

Home Phone

Cell Phone

Parent's Email Address *

Website

Participation in the program permits MIM to receive your son’s report cards, standard test scores, allows them to be photographed & recorded during workshop activities as well as travel on exposure outings.

The Cross and Anvil Human Services, Inc. offers programs and maintains inclusion policies that do not discriminate on the basis of race, color, religion, sex, age, marital status, national origin, disability, or sexual orientation. Our organization collects information concerning race, color, sex, and national origin to facilitate compliance with Titles VI and IX of the U.S. Civil Rights Act.

Supported by: Cross & Anvil Human Services Inc., St. Petersburg Police Department, Duke Energy, Pinellas County Sheriff and St. Petersburg College

Mentee Application (Print Version)