Peer Mentorship Application (for mentors) 2026-2027

PYP and PYCO students who participate in the Peer Mentor program are expected to attend all lessons and actively communicate between the mentee and Community Programs Manager, Maluhia Ose.

Lesson scheduling can either be eight 30-minute sessions once a week for 8 weeks OR four 1-hour sessions once every other week for 8 weeks.

Should a student or instructor find it necessary to cancel a lesson, the other party must be notified at least 24 hours in advance. Lessons canceled by the mentor must be made up. Last-minute cancellations by the mentee will not be made up and will count toward the total number of lessons received by the student.

All lessons must be completed by May 15th, 2027.

Student Name Student Name First Last
Student's Preferred Pronouns:
Student's Preferred Name / Nick-Name:
Student Phone Number (if over 18) Student Phone Number (if over 18) - ### - ### ####
Student Email:
Parent/Guardian Name (if under 18):
Parent/Guardian Email (if under 18):
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
School Name for 2026-2027 Year
School Grade for 2026-2027 Year
Age
Which PYP ensemble(s) are you currently in?

Which PYP ensemble(s) are you currently in? PYP PYCO
Have you been a mentor or mentee with PYP before?

Have you been a mentor or mentee with PYP before? Yes, mentor Yes, mentee Neither Both mentor and mentee
Your Primary Instrument
Which instrument(s) are you comfortable mentoring this season?
How long have you been playing the instrument(s) you want to mentor on?
Please list your hours of availability:

*Reminder*: Lessons are either 30-mins once a week for 8 weeks OR 60-mins once every other week for 8 weeks.

Ex: Mondays 3-7, All Day Sunday
Which term are you applying for? You may pick more than one.

Which term are you applying for? You may pick more than one. Fall Term (Oct. 3 - Dec. 5) Winter Term (Jan. 2 - Feb. 27) Spring Term (Mar. 13 - May 8)
What are you looking forward to in being a mentor? Use this space to discuss your past mentorship experiences as well (does not have to be PYP or music related).
Any questions or concerns at this time?