Big Theys/Big Thems Mentee Application

Account Registration

Mentee Information

Tell us more about yourself (the mentee)!

First Name *

Last Name *

Pronouns *

Age **All My Crew Mentees must be between 12-18 years of age** *

Sexual Orientation (for Matching Purposes)

Gender Identity/ Gender Expression (for Matching Purposes)

Email *

Phone 1 *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

How did you hear about The Equality Crew and/or this event/program? *

Facebook

Instagram

The Equality Crew Website

Word of Mouth (friends, parents, therapists, etc)

Event (Please indicate what event in the question below if choosing this option)

At what event did you learn about The Equality Crew?

Safe Adult Contact Information

Please provide us the contact information for a safe adult in the mentee's life whom we can communicate with regarding Big Theys/Big Thems mentorship participation.

Parent/Caretaker Name (First and Last Name) *

Relation to Mentee *

Parent/Caregiver Email Address *

Parent/Caregiver Phone Number *

Mentee Interests/Concerns

This section gives you (the mentee) an opportunity to let us know more about your interests, challenges, and what you would like to gain from mentorship!

Provide us with a list of your hobbies/interest? *

What do you think your biggest challenge(s) are: (Please Select all that apply) *

Concerns related to racial, ethnic, and cultural identity

Meeting new people

Figuring out your sexuality and/or gender identity

Balancing work, school, and social spaces

Finding safe spaces

Facing harassment from/at school

Bullying from peers

Combatting familial issues

Other

If you answered "Other" to the above question, please list here:

What do you want to gain most out of Big Theys/Big Thems Mentorship? *

If you could have your ideal mentor, what qualities/characteristics would they have? *

If there is any additional information you would like to share, then please provide us with it below!

How did you hear about The Equality Crew? *

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The Equality Crew in Northwest Arkansas promotes diversity, inclusivity, and equality throughout our community. We achieve this by offering various LGBTQIA+ youth programs that promote education and awareness around social justice and equality issues. We exist to positively impact our community and create a brighter future for all people.

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