Mentor Application Form
MCC is launching a new mentorship program for East Bay Muslim youth. Our youth currently face many challenges in today’s society and a mentor can help him or her navigate through life challenges.

Our goal is to build a sustainable mentoring program in the MCC area by increasing the capacity of youth leaders to become successful mentors by using evidence-based training and research while maintaining a culturally appropriate model.

We are currently looking for mentees ages 13-29 boys and girls. We have a team of 20 mentors who have graciously volunteered Alhamdulillah. Each mentor has various backgrounds and who will be paired with a mentee based on their criteria.

Over the past year, our mentors went through various online training in mentoring, leadership, and mental health. If you would like to become a youth mentor, please fill out the form below.

Each mentee will meet with their mentor for one hour on a weekly basis, virtually. This can be adjusted based on each individual schedule and needs.

Please share this message if you know someone who would be a good candidate.

Regards,

MCC Mentorship Team
mentoring@mcceastbay.org

All information in this application will be kept strictly confidential.

Sign in to Google to save your progress. Learn more
Your Name *
Name of the Mentee (if different)
Email *
Are you filling out this application for yourself or your child? *
What mentoring group do you belong to?
Clear selection
Gender *
Age *
Marital Status
Clear selection
City of Residence
Ethnicity
What country did you grow up in?
Language(s) Spoken
Tell us a little more about yourself. If your a parent, can you describe your child?
Please briefly describe the reason(s) you are seeking a mentor.
What are your hobbies and activities you like to enjoy?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy