2025 Saved in the City Teens Mentorship Program

Thank you for your interest in Saved in the City's Teen Mentorship Program. We are excited to embark on this journey with you as we seek to support and guide young women in their faith and personal growth. Please take a moment to complete this application form to be considered for the program.

Teen's Full Name

Date of Birth (Must be between 13-17 years old)

Address (Must live in the Atlanta area)

Teen's Phone Number

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Teen's Email

Educational Background

Freshman
Sophomore
Junior
Senior

Name of School

Current GPA (If applicable)

T-Shirt Size

Interests and Hobbies

Why are you interested in participating in this mentorship program?

Have you been involved in any previous mentorship programs or similar activities? If yes, please describe your experiences:

Are you able to commit to a monthly meeting for our mentorship program?

Do you have any potential conflicts (e.g., work, school, other commitments) that may affect your availability for this program?

References

Please provide the name and contact information of a non-family references who can speak to your character, faith, and suitability for this mentorship program.

Reference 1

Full Name

Phone Number

Relationship to Applicant

Reference 2

Full Name

Phone Number

Relationship to Applicant

Agreement

By signing below, I confirm that the information provided in this application is accurate and complete to the best of my knowledge.

I, the undersigned, agree to the terms above.

Parent/Guardian First and Last Name

Relationship to the Applicant

Parent/Guardian Email

Parent/Guardian Mobile Phone Number

Address

Why do you feel this mentorship program will be beneficial for your child?

Parent/Guardian Involvement: We believe that the success of this mentorship program relies heavily on the active participation and support of parents and guardians. Your involvement plays a critical role in ensuring your teen’s growth and success throughout this journey. Please let us know how you plan to be involved in your teen's participation in the program and any ways you can assist with their journey.

Agreement

By signing below, I confirm that the information provided in this application is accurate and complete to the best of my knowledge.

I, the undersigned, agree to the terms above.

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Saved in the City Teens

Mentorship Program

TEENAGER INFORMATION

References

PARENT / GUARDIAN INFORMATION