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Youth

Name: *
Surname: *
E-mail Address: *
Cell phone no: *
Preferred language for smses: *
Afrikaans
English
isiZulu
isiXhosa
seSotho
Gender: *
Male
Female
Postal address: *
Province: *
Postal code: *
Declaration: Have you ever been
convicted for any form of abuse or
assault, whether physical or sexual,
or are you aware of any reason why
you would be unsuitable to mentor
a young person? *
Yes
No
Mentee name: *
Mentee surname: *
Mentee cell phone no: *
Mentee gender: *
Male
Female
Mentee age: *
If your mentee is younger than
18, have you already spoken to
the young persons
parents/guardian/caregiver about
your interest in mentoring their
child, and do you have their permission?
Yes
No
Guardian name:
Guardian cell phone no.:

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Free Youth Mentoring Pack Free Youth Mentoring Pack Free Youth Mentoring Pack

We are looking for everyday heroes, and think we may have found one in you. But we know the task is daunting, so we want to support you. On 26 October 2008 Heartlines launched the Mentorship Starter Pack. This is a resource for ordinary South Africans with courage enough to invite a young person to follow their example. We’ll provide you with a guide to mentoring, plus a DVD that will show you what you need to know, and will encourage you to examine who you need to be before inviting a young person to follow your example. We will further assist you with a support line whereby you can phone, sms or email us with your challenges or queries. Because we know that an investment in a young person is an investment in our future.