Thank you for your interest in the MENTOR Leadership program. Complete this form to begin your Social Entrepreneur Leadership Journey. The program has four tracks which include:

  • Business Entrepreneur (for-profit)
  • Business Philanthropy (hybrid)
  • Ultimate Philanthropy (non-profit)
  • MENTOR Certification (facilitator/coach)

You must select one track to begin your journey. Take a moment to review the required Membership Plans and Program Sequence options on the lefthand side of the form. Then, complete the form below and tell us a little bit about yourself and your business.

Notice to Student Applicant

  • Fill in all required form fields. If a field does not apply to you. Then type the letters NA.
  • By completing this form, your rights, as a member, are protected under the Family Education Rights and Privacy Act (FERPA). To learn more visit, the U.S. Department of Education FERPA website.
  • Members under 18 years old must have their parent complete and sign the Parental Admission Form before admission will be granted.

Currently, we can admit new members continuously throughout the year on a first come first served basis. To learn more, review our Open Enrollment Policy.

It should take approximately 4-5 minutes to complete.

MENTOR Enrollment Application
Enter first name
Enter last name
Enter business name
Enter website URL
Enter phone number
Enter email address
Select an option
Enter a response, if applicable
Select an ethnic group
Select an age range
Select a program track
Select a mentor chamber center to call home
Select a membership plan
Select a program phase.
Tell us more about your business or project
Select a developmental stage
Select a project (Note: IP stands for intellectual property)
Please enter the name of the referring agency, partner, or company.
By clicking the submit button below, I acknowledge and understand that Oracles of Truth Academy or another affiliate partner (collectively, “OTA”) may use all or a portion of the statements provided in this enrollment form to assess my personal lifestyle and business needs in order to determine what services that I might be eligible to receive or participate. I also understand that OTA may, at its discretion, fix minor spelling and grammatical issues from any of the statements I provide in this entry form. In addition, I acknowledge and understand that OTA may contact me at the email address and/or phone number provided on this enrollment form. *
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MEMBERSHIP PLAN OPTIONS

CAPACITY BUILDER
Available Now

PLATFORM DEVELOPER
Planned

PROJECT INNOVATOR
Planned

ALUMNUS
Planned for Program Graduates only

PROGRAM SEQUENCE OPTIONS

FAST TRACK
An accelerated rout through the program with validation checkpoints. Review the Pre-qualification Requirements.

STANDARD
The full program which includes the 90-day Sprint, Pace to Success, and Social Learning Fund.

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