The following sample forms and worksheets are provided to YouthBuild mentoring programs to use as they see fit. They are intended to provide you with easy-to use templates that can be customized for local use.

Forms noted with an asterisk (*) have been submitted by a National Mentoring Alliance site. If you have a form or resource from your site that you would like to share, please email it to Site Administrator Michael Garringer.

• Basic Mentoring Program Budget Template
• Contact and Information Release Form
• Employment Reference Check Form
• Life Plan Template 1
• Life Plan Template 2
• Match Check-In Sheet
• Match Closure Forms
• Match Closure Summary
• Match Commitment Agreement
• Match Icebreaker - Getting to Know Each Other
• Match Transition Ritual
• Matchmaking Worksheet
• Memorandum of Understanding
• Mentee Exit Survey
• Mentor and Mentee Reflection Worksheet
• Mentor Application
• Mentor Documentation Check-Off List
• Mentor Exit Survey
• Mentor Information Release Form
• Mentor Interview Format
• Mentor Interview for Home Visits
• Mentor Position Description
• Mentor Pre-Training Attitude Survey
• Mentor Recruitment Handout
• Mentor Screening Policy
• Mentoring Coordinator Position Description
• Parent Guardian Permission Letter
• Personal Reference Questionnaire
• Recruitment Flyer Example (bi-lingual)*
• Youth Interest Survey
• Youth Pre-Match Interview

Planning Worksheets

(for mentor recruitment, marketing, and other “big picture” tasks)

• Defining Our Mentors
• Developing a Mentor Position Description
• Inventory of Resources for Mentor Recruitment
• Marketing Strategies
• Mentor Recruitment Location Brainstorm
• Recruitment Activities
• Recruitment Timeline
• Reviewing Current Strengths and Challenges
• Sustainability Planning Checklist
• Volunteer Motivations and Barriers