The Village Informational Registration Form
Thank you for expressing interest in The Village. We are excited to share our vision and mission with you. Our online presentations are held on the 3rd Thursday of every month at 7 pm (CST).Feel free to visit TheVillage314tv on YouTube for a sample of the information we will share. Before the meeting, please download the free Zoom app. A link to the meeting will be emailed to you and a reminder will be sent on the day of the event. If you are having difficulty filling out the form or have questions please email info@thevillage314.com. Blessings to you and your family!
Meeting Date
-
Month
-
Day
Year
Date
Last Name
First Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about us?
Please Select
Online/Social Media
Referred by current mentor/board member/executive director
Referred by current enrollee
Other
Where do you reside?
Saint Louis City
Saint Louis County
Saint Clair County
Check all that apply
Registering a mentee
Becoming a mentor
Enrolling as a volunteer
Registering a Mentee
All are welcome to our informational. Mentee applications will be shared through email after the presentation, but only a parent or legal guardian may legally submit.
How many mentees are you registering?
1
2
3
4
5
Please enter the grade level(s).
Submit
Should be Empty: