Online Mentorship Inquiry

To meet the needs of our kids during the current health crisis, Songs For Kids Foundation is now offering our Online Music Mentorship Program for kids and young adults with illnesses, injuries and disabilities. Our Mentors connect with kids using online Zoom video meetings – all you need is a device with a camera and microphone (most phones, tablets and laptops are good to go!).

Fill out the below form with the information for the applicant and the applicant’s parent/legal guardian.

For nominees under the age of 18, this form must be filled out together with their parent/legal guardian.

Applicant Information

Name *

First

Last

Birth Date *

City *

State *

What are the applicant’s musical interests? *

Why is the applicant a good fit for this program? *

How did you hear about this program? *

Parent/Guardian Information

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Relationship to Applicant *

Online Mentorship Inquiry

Applicant Information

Parent/Guardian Information

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