Your Name Your Email Your Affiliation (e.g. VCCYF, Howard Center, Hunt Middle School) Mentee's Name WEmentors works with mentees who are in elementary and middle school. Mentee's Age - None -Younger than 55678910111213Older than 13 Please note that WEmentors only serves mentees who are 5-13 years old. If the person you would like to refer is younger than five or older than thirteen, check out Mentor VT's Mentoring Program Database to find other mentoring opportunities - https://www.mentorvt.org/programs-by-county/?846 Mentee's Parent/Guardian Parent/Guardian Phone Number Parent/Guardian Email What are your goals in referring this student to WEmentors? WEmentors' goal is to build meaningful relationships that support lifelong health-promoting behaviors through fitness, mindfulness, nutrition and relationship building. WEmentors focuses on mentorship around the four Pillars of WE: fitness, nutrition, mindfulness and building healthy relationships. Which of these areas is this mentee most interested in? Mindfulness Fitness Nutrition Building Healthy Relationships What factors (e.g. learning style, identity, family history) should be taken into consideration when pairing this mentee with a mentor? Is there anything else you would like us to know about this mentee or their family? Feel free to provide suggestions for how to engage this mentee and/or accommodations they might need to thrive in WEmentors CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 3 + 8 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
