Mentor signup Please complete the form below if you would like to become a mentor. Mentor List Signup Leave this field blank First and Last Name Enter your first and last name. Must be a member in good standing to be added to the list. Email Address: Enter the email address you would like to be reached at. Phone Number: Enter area code and phone number you would like to be contacted at. Years of experience 1-2 3-4 5-7 8+ Counties and Cities Served Enter the names of the counties and cities you will travel to to mentor someone.