DJMC Mentee Application

 

Mary Lee Ahern

DJMC & YIELD Coordinator

mahern@accessliving.org

(312) 640-2119

Want to join DJMC?

You are eligible to become a mentee if you:

  • Have a disability*
  • Are in any grade between grades 6 through 12 and enrolled in school. You must have a CPS ID number.
  • Live in the City of Chicago in Austin, East Garfield Park, West Garfield Park, Roseland, or Englewood.

The application process has three parts:

  1. Youth Information
  2. Signed Expectations Agreement
  3. Parent/Guardian Paperwork Packet

After we have received and reviewed all of the above, you’ll be ready to be matched with a mentor.


DJMC Mentee Application

Applications can be completed by filling out the form below or downloading the application (see the ‘Resource’ section of this page) and mailing it to Access Living. If you have questions or would like assistance with the application process, please contact our Youth Team.

To send via USPS, address as follows:

Access Living
C/O Youth Team
115 W. Chicago Ave.
Chicago, IL 60654

Online DJMC Application

Part 1: Youth Information

Asterisks (*) indicate a required field. If you do not know the answer or the question does not apply, enter ‘NA.’

Mentee Application
Race/Ethnicity *
What is your gender identity? *
(Optional) What are your preferred pronouns?
Are you able to travel independently? *
Do you currently have a job? *

Part 2: Expectations Agreement

Please read the following to understand the basic requirements for a DJMC mentee. Becoming a DJMC is about taking the time to get to know your mentor and working together so you can reach your full potential. Please sign the agreement at the bottom to show that you understand the expectations, and that you plan to honor them to the best of your ability.

  1. Attend five hours of monthly mentor/mentee meet-ups
  2. In addition to these one-on-one sessions, all DJMC mentees and mentors will gather for a group meeting once every month.
  3. All mentees commit to building a positive relationship with their mentors.
  4. If problems arise in the mentoring relationship, mentees should contact the DJMC program coordinator as soon as possible to work out solutions.
  5. All mentees will learn about and honor disability-positive language.
  6. All mentees will respectfully interact with others from all walks of life.
Mentee Signature Form
I have read and understand the Access Living DJMC Expectations Agreement *