Search is currently unavailable. Please try again later.
The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer.
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 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.