Refer | Coro Youth Mentors

Referral Process For Tamariki / Rangatahi

If you have a young person in your guardianship (mentee) they can be buddied up with a mentor if they meet the following eligibility Requirements:

Be between 8 and 20 years of age.
Demonstrate a desire to participate in the programme and be willing to abide by all CYM mentoring programme policies and procedures.
Be able to obtain parental/caregiver permission and ongoing support for participation in the programme.
Commit to the programme for up to 12 months.
Commit to spending a minimum of at least two hours a fortnight with the mentor.
Complete screening procedure.
Agree to attend mentee trainings and meetings as required.
Be willing to communicate regularly with the Programme Coordinators, as well as programme staff and discuss weekly meeting and activity information as and when required to do so.

Mentee Referral Form

Mentee information

Mentee Full Name (young person)

Last name

Birthday

Day

Month

Year

School (If applicable)

Referral Source

Your name

Title/Position:

Agency/Organisation (if applicable):

Phone Number:

Email Address:

Reason for Referral: Briefly describe why you are referring this youth to the mentoring programme (e.g., academic challenges, social difficulties, need for positive role mode

Strengths and Interests; Describe their strengths and talents.

What are their hobbies and interests?

Are there any specific activities they might enjoy doing with a mentor?

Does the young person know you are making this referral?

Additional Information Is there any other relevant information about the youth's background, family situation, health physical or mental or learning style that would be helpful for the mentor programme to know?

Are there any specific cultural considerations or language needs to be aware of for mentor matching? (Optional)

Parent/guardian information

Parent/guardian name:

Phone

Relationship to Mentee:

Please be aware of our Child Protection policy.

A manual copy of the referral form is available on our resources page.

Please note:

All information provided on this form will be kept confidential.

A program representative may contact you to discuss the referral further.

Any queries can be directed to georgie@cym.org.nz