Families Fighting Autism
Please print, fill out this form and email a picture of the filled out form to familiesfightingautism@gmail.com in order to be reviewed/paired through our buddy program!
After emailing your application, you will receive an email to set up an interview.
Please print, fill out this form and email a picture of the filled out form to familiesfightingautism@gmail.com in order to be reviewed/paired through our program!
After emailing your application, you will receive an email to set up an interview.
I am applying to be a mentor _______
I am applying to find a mentor _______
Name:_____________________________________
Phone Number: (________)_________-__________
Email:_____________________________________
Adress:_________________________________________________________________________________________
________________________________________________________________________________________________
Interests:________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Female/ Male
Age:________
Do you have transportation/ the ability to drive?
YES/ NO
Would you be willing to drive with your mentor/mentee?
YES/NO
Why do you want to be a mentor/be paired with a mentor?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Tell us about yourself!
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________