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Complete Supporting Documents

Please direct your potential mentor to this page where they can complete the Mentor Application. The mentor can also refer their two references to this page to complete the Mentor Reference Response form. 

Mentor Application

Mentor Reference Response Form

 

May or may not pertain to your applicant:

Before completing these forms, you must save to your computer. Once completed, resave and email as attachment to DMVA-Apply-MYCA@michigan.gov

Please direct youth’s counselor to this page where they can complete the Mental Health Summary.

The only form that the parent will need to complete under supporting documents will be “Authorization to Disclose Information” and this is ONLY if your youth has had counseling within the past 18 months. 

Mental Health Summary

Authorization to Disclose Information