Thank you for referring a youth to The Center's mentoring program. If you are a parent or guardian, please do not fill out this form, instead complete the mentee application form alongside the youth.

    This form is for referring youth between the ages of 10-16 who live in Swift Current to The Center's mentoring program. Exceptions may be made for youth outside this age range and location, just know the chance of being matched with a mentor may be lessened.

    We aim to create long-term, supportive relationships between youth and mentors, empowering youth to develop life skills and become positive members of society. Please fill out the form below as best as you can to help us understand the youth's needs and how they could benefit from this program. Input this code: captcha