Application to be a Mentor

Please fill out the form below to begin the application process to become a volunteer mentor as an experienced family.

First name

Last name

Email*

Phone number

Street address

City*

State*

Languages Spoken

English

Spanish

Portugese

Mandarin/Cantonese

Haitian

French

Vietnamese

Russian

Arabic

Hindi

Italian

How did you learn about the Friend of the Family Program?*

Licensing Agency

Race/Ethnicity*

This information is voluntary and will be used for matching purposes. Please check all that apply.

African American/Black

Asian

Caucasian/White

Hispanic

Native American

Other

Matching Profile*

Please check which of the following groups you identify with:
This information is voluntary and will be used for matching purposes. Please check all that apply.

Single Parent

Co-Parenting

LGBTQ+

Straight

Interracial Family

Blended Family (adopted and biological children)

Household Description*

If you have children, please let us know their names, birthdates, and how they joined your family (biological, step-children, domestic, international, or foster care adoption). Please format as: Name of Child, How the Child Joined Your Family, Current Age, Age of Child When Placed

Family Experience/Expertise*

If you indicate you have experience with children with emotional, intellectual, or physical disabilities or needs please specify those needs in the general comments below.

Children with Emotional Disabilities

Children with Intellectual Disabilities or Neurodivergence

Children with Physical Disabilities or Medical Needs

Sibling Group Adoption

Teen Adoption

Legal Risk Placement

Open Adoption with Birth Parents

Opten Adoption with Kin

Previous Adoption and Foster Care Experience

Please indicate if any of the below are already true (adoptive parent should only be checked if you previously finalized an adoption). Check all that apply.

Adoptive Parent

Adopted Person

Foster Parent

Experienced Foster Care

None

Why are you interested in being a mentor?*

Please specify why you would like to mentor a pre-adoptive or newly-adoptive family.

Please briefly share your adoption story including your reasons for adopting, what the adoption process was like for you, how you were matched, and any experiences you have had as an adoptive family that you think would be helpful for you to share with others:*

General Comments