Mentoring Minors in Youth Programs - Summer or Academic Year (short term or long term)


Any adult (18 years or older) who interacts with youth/children (under 18 years old) in your program must be registered. Parents/guardians who participate in the program do not have to be registered. The Primary Contact(s) for your group is responsible for completing this form.

If you have any questions, please email

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* Required

Primary Contact Information

Include only programs that work with youth/children who are under 18 years old.
(e.g., mentor, supervisor, organizer, tutor, and staff)
Have you completed the Hopkins Child Safety Training within the last year? *
Affiliation with Hopkins School of Medicine *
If unsure or never had one, type in "none."