Apply for Mentoring Placement

Pathway Mentoring is a structured youth mentorship and juvenile reentry support program working in partnership with courts and probation systems. We’re launching in New Orleans, Louisiana, with weekly sessions and a 90-day enrollment cycle.

Age groups: 13–15 and 16–18. Enrollment is limited to preserve quality and accountability. If scholarship consideration is needed, select it below. All information is treated as confidential.

Parent / Guardian Information

Full Name *

Email *

Phone *

City *

State *

How did you hear about Pathway Mentoring?

Student Information

Student Name *

Age *

Age Group *

Current Grade

School Name

Program Fit & Support Needs

Is this connected to juvenile reentry? *

Referral Type

Primary Area of Support *

Why are you seeking mentorship? *

Any urgent concerns we should be aware of? (No sensitive details)

Tuition / Scholarship Path

Payment gateway and donation support options are being finalized. Select the path that best fits your situation.

Standard Enrollment — Prepared to enroll under standard terms when placement is approved. Scholarship Consideration — Request review for scholarship-supported placement. Payment Plan Discussion — Request a partial contribution plan if available.

Notes (optional)

I understand enrollment is limited and reviewed in 90-day cycles. Weekly participation and accountability are required. I will not submit sensitive medical details through this form.

After review, you’ll receive next steps by email/text.

Safety note: Do not include sensitive personal history, medical details, or court case specifics in this form. If urgent support is needed, contact local emergency services or appropriate authorities.