Please list two (2) references (must be age 18 and older, no relatives) who have known you for at least two (2) years.
If I am accepted as a mentor with Reach Our Youth (ROY), I understand my obligation to meet with my mentee regularly for a period of at least six months and to inform the agency staff as to the status of my match relationship every month. In addition, I will strive to attend the ROY group activities with my mentee so that we can both enjoy the friendship of other ROY participants. I further agree to accept the supervision of the ROY staff and to discontinue my service if I am requested to do so by the agency.
I hereby grant Reach Our Youth (ROY) the authority to release any information concerning my involvement in the program to any law enforcement or social service agency upon request.