Skip survey header

YMI Mentee Recommendation

Student Referral Information
Why are you choosing YMI for this student? Why has student chosen a mentoring program? (check all that apply) *This question is required.
Legal Guardian Information is required to submit a mentee recommendation as a completed recommendation form generates a Legal Guardian Information & Consent email to be sent to the email provided.  If a response is not received from the email correspondence, YMI will use the address and phone numbers provided to obtain contact with the legal guardian.  YMI cannot complete a mentee application with a recommended student until the Legal guardian Consent Form is returned to YMI.
Legal Guardian Information
This question requires a valid email address.