AYM Mentorship Survey

Thank you for your interest in AYM Mentorship! We're excited to connect you to a mentor and get things started. Please fill out this form with your general info, and the mentor you'll be matched with will contact you!

Also, remember to have a parent/guardian fill out this waiver:



Please complete the form below

Name *
You can always discuss this with your mentor later.
Birthday *
e.g. Monday: 3-5pm, Tuesday/Thursday: 2-4pm, Saturday: 3-6pm
Did you fill out the waiver? *