MENTAL HEALTH
MENTOR

APPLICATION

Thank you for your interest in becoming a Mental Health Mentor

with Eustress Inc. Your time, compassion, and commitment can

make a lasting impact in the life of someone who needs it.

Together, let's heal. Together, let's grow.

MAKE A DIFFERENCE
BE A MENTOR.

INSPIRE
HOPE.

LISTEN
DEEPLY.

EMPOWER
CHANGE.

BUILD STRONGER
COMMUNITIES.

MENTOR APPLICATION FORM

Please complete all required fields.

Full Name*

Email*

Phone*

School*

Grade Level*

Are you 18 or older?*

Parent / Guardian Section

Parent / Guardian Name*

Phone*

Email*

Can you attend mandatory training sessions after school or on weekends?*

Yes

Are you able to participate in community events on some evenings and weekends?*

Yes

Do you have reliable transportation (or a way to get to meetings)?*

Yes

Availability For Meetings*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Character & Motivation

Why do you want to be a mentor?*

What does mental health mean to you?*

Tell us about a challenge you've overcome. What did you learn from it?*

Have you supported a peer during tough times? Please briefly describe without using names*

Describe a time you helped someone without expecting anything in return.*

Leadership & Teamwork

What clubs, sports, organizations, church groups, or community activities are you involved in?*

Describe your leadership experience. (Remember leadership isn't just titles.)*

How do your friends usually describe you?*

What strengths would you bring to the mentor team?*

What is one area where you'd like to grow?*

Scenario Questions

Scenario 1: A student tells you they're feeling overwhelmed and says, "I don't think anybody would even notice if I disappeared." What would you do?*

Scenario 2: You're leading an activity and two students begin arguing loudly. What would you do?*

Scenario 3: One of your closest friends asks you not to tell anyone that they've been hurting themselves. What would you do?*

Commitment

What does commitment meant to you?*

If selected, what would success look like one year now?*

Discipline

Have you ever received disciplinary action at school or with the legal system? If yes, please explain*

References (2 Required)

Reference #1: Name *

Reference #1: Contact Number *

Reference #1: Email *

Reference #2: Name *

Reference #2: Contact Number *

Reference #2: Contact Email *

Background Check Consent

As part of the Mental Health Mentor Program, Eustress Inc. is committed to providing a safe environment for all participants.

By checking the box below, I understand that Eustress Inc. may conduct a background check, as permitted by law, if required for participation in the program.

I authorize Eustress Inc. to conduct a background check as part of my mentor application process.

Parent/Guardian Consent

I am the parent or legal guardian of the applicant listed above.

I give permission for my child to apply to and participate in the Eustress Inc. Mental Health Mentor Program. I understand that participation may include mentor training, meetings, workshops, volunteer activities, and supervised mentoring opportunities.

I certify that the information provided in this application is accurate to the best of my knowledge.

I, as the parent/legal guardian, give my consent for my child to participate in the Eustress Inc. Mental Health Mentor Program.

Applicant Consent

I certify that the information provided in this application is true and complete to the best of my knowledge.

I understand that submitting this application does not guarantee acceptance into the Eustress Inc. Mental Health Mentor Program. If selected, I agree to follow all program expectations, policies, and code of conduct.

I certify that the information provided is accurate and I agree to participate in accordance with Eustress Inc. program guidelines.

Resume Upload*

MENTAL HEALTH
MENTOR

APPLICATION

MAKE A DIFFERENCE
BE A MENTOR.

INSPIRE
HOPE.

LISTEN
DEEPLY.

EMPOWER
CHANGE.

BUILD STRONGER
COMMUNITIES.

MENTOR APPLICATION FORM

Please complete all required fields.

© 2025 Eustress, inc. All Rights Reserved.

INFO

GET INVOLVED

CONNECT

MENTAL HEALTH MENTOR

APPLICATION

MAKE A DIFFERENCE BE A MENTOR.

INSPIRE HOPE.

LISTEN DEEPLY.

EMPOWER CHANGE.

BUILD STRONGER COMMUNITIES.

MENTOR APPLICATION FORM

Please complete all required fields.

© 2025 Eustress, inc. All Rights Reserved.

INFO

GET INVOLVED

CONNECT

MENTAL HEALTH
MENTOR

MAKE A DIFFERENCE
BE A MENTOR.

INSPIRE
HOPE.

LISTEN
DEEPLY.

EMPOWER
CHANGE.

BUILD STRONGER
COMMUNITIES.