Apply to be a Mentee

If you have been referred to NEST by your child’s Juvenile Probation Officer, please click on this link to complete the NEST application. Applications should be completed by a parent or legal guardian unless the applicant is 18 years of age or older. All information will remain confidential and is for internal use within the NEST Corporation Inc..

Child's Information

Name (required)

Birthdate (required)

Gender (required)

Address (required)

Cell Phone Number

Email(required)

School

Grade

Employer (if applicable)

Parent/Guardian Information

Name (required)

Address (required)

Cell Phone Number

Email(required)

Employer

Who referred you to NEST? (If you have been referred by your child’s Juvenile Probation Officer, please list their name)

Why do you want your child to participate in the NEST Mentoring Program? (no more than 250 words)

Check the areas in which your child needs assistance from a mentor

SchoolTutoringApplying for College or Trade SchoolEmploymentCareer ExplorationLearning Life Skills (examples: budgeting, meal planning, driving)Finding Hobbies

What is the most important thing that you think a mentor should know about you and your child?

Are you willing to commit to the NEST experience of working with a mentoring team and NEST staff to achieve goals? Please click yes or no

Parent

Participant

Do you have transportation?

I verify that all of the information provided is true and to the best of my knowledge