Ages 14–17

THE RISE PROJECT

Mentorship & Youth Support

Real mentors. Real goals. Real support. Parents, guardians, or Risers themselves can complete this application to join a community built to help teens grow into who they're becoming.

1:1 mentor matchGroup sessionsFree to join

Step 1

Riser Information

Parents, guardians, or Risers themselves can fill this out. Tell us about the young person joining RISE.

Who is filling out this application?*

Riser's legal full name*

Riser's preferred name / nickname(optional)

Riser's pronouns(optional)

Riser's date of birth*

Age*

Fills in automatically from date of birth.

School*

Grade*

Riser's phone(optional)

Riser's email(optional)

Home address*

City*

State*

ZIP*

Step 2

Parent / Guardian Information

The adult we'll partner with throughout the program.

Parent / guardian full name*

Relationship to youth*

Phone number*

Email address*

Address (if different from youth)(optional)

Best way to reach you*

Preferred language(optional)

Step 3

Emergency Contact

Someone other than the parent or guardian above.

Full name*

Relationship to youth*

Phone number*

Alternate phone(optional)

Step 4

Interests & Goals

This is how we match mentors — be honest, there are no wrong answers.

What is the Riser interested in?(pick as many as you like)

What does the Riser want to get out of mentorship?*

Anything the mentor should know about the Riser?(optional)

When can the Riser usually meet?(pick all that work — the official group schedule will be announced)

Step 5

Health & Support Needs

Only what we need to keep every young person safe and supported.

Allergies(optional)

Medical conditions or medications we should know about(optional)

Accommodations or supports that help this youth thrive(optional)

Step 6

Consent & Signature

A parent or guardian must review and agree before we can enroll.

I give permission for my youth to participate in THE RISE PROJECT mentorship program, including mentor meetings and group sessions.In an emergency, I authorize program staff to seek medical care and will be contacted immediately.I give permission for photos or video of my youth to be used in program materials. (Optional)

Parent / guardian signature*

Typing your full name serves as your electronic signature.

Date*

Questions before you submit? Reach our team and we'll walk you through it.

Your information stays private and is only used for program placement and safety.