Mentee Application | National Federation of the Blind

The National Federation of the Blind career mentoring program welcomes applications from students ages fourteen through twenty-two who are currently enrolled in school in Maryland, Mississippi, and Nebraska. As a mentee, you will be matched with several committed, caring, and successful blind mentors who will guide, assist, and support you as you build your future.

Note: All fields with an asterisk (*) are required.

Mentee Information

First Name *

Middle Initial - Optional

Last Name *

Street Address *

Street Address Line 2 - Optional

City *

State/Province *

Postal Code *

Home Phone Number - Optional

Mobile Phone Number - Optional

Email *

Birth Date *

Please indicate whether you are enrolled in high school or college: *

Grade Level: - Optional

Employment/Postsecondary Goal: *

Parent or Guardian First Name: *

Parent or Guardian Last Name: *

Parent or Guardian Home Phone: - Optional

Parent or Guardian Mobile Phone: - Optional

Parent or Guardian Email: *

Do you have a Vocational Rehabilitation Counselor? *

VR Counselor’s First Name: - Optional

VR Counselor’s Last Name: - Optional

VR Counselor’s Phone: - Optional

VR Counselor’s Email: - Optional

Please indicate if: *

Do you have any questions about the NFB Career Mentoring Program? *

Please provide the questions you have in the text area below. - Optional