All areas in
orange are mandatory.
All Engender Mentorship communication will be sent via e-mail. Please provide a valid e-mail
Information for the Young Girl applying for the GIRLS' MENTORSHIP CAMP
Mentee’s Academic performance:
What type of family does the mentee come from?
Single Parent family
Duo Parent family
Answer to all questions below are mandatory
What's the reason you're signing up your daughter for the Girls' Mentorship Programme?
Briefly explain the kind of lady you want to see in your daughter 20 years from now?
As a parent, have you ever talked to your daughter (above 12 years) about Pornography & Sexual Relationships?
If your answer in question 4 is "Yes", briefly tell us what you found out after talking to your daughter about Pornography & Sexuality
If your answer in question 4 is "NO", briefly explain why you have not yet talked to your daughter about Pornography & Sexuality
How well do you know your daughter? Please tick
According to you, what are some of those bad elements in your daughter that you would us to address in this camp?
As a parent, what would you do, if your child chose a religion / belief that is contrary to yours what would you do? How far would you go in supporting this right?
Section to be completed by nominee’s Parent or Legal Guardian
I authorize my daughter to undergo the selection process of the GIRLS’ MENTORSHIP Program.
I am the parent or legal guardian of nominee (of minor child mentioned above), I acknowledge, understand and agree that
I am required to accompany my daughter to the venue of transit to the ENGENDER GIRLS’ MENTORSHIP Camp, confirm their
departure and participate in the Girls' Graduation Ceremony at the end of the camp at Camping Centre as communicated
I hereby give permission for my daughter to be photographed and/or videographed during the mentoring camp. I
understand the photo(s) and videos may be used to keep a journal of activities, to share during PowerPoint presentations
and/or reports to our sponsors, promotional purposes; including flyers, brochures, and on social/digital platforms. In
addition, I give the ENGENDER YOUTH MENTORSHIP Programme permission to use my daughter’s name, voice and/or
appearance as such to be embodied in photos, video recordings, and interviews for media publications. I agree that the
ENGENDER YOUTH MENTORSHIP through its GIRLS’ MENTORSHIP Programme owns all mentioned assets and may use for
the purpose consistent with the organisation’s mission
While ENGENDER YOUTH MENTORSHIP’ will affirm responsibility for personal property; its staff, mentors, coaches,
sponsors, affiliates, participants, or its co-organizers are not responsible for lost or damaged personal property.
I hereby give approval for my daughter’s participation in any and all activities prepared by the ENGENDER YOUTH
MENTORSHIP. In exchange for the acceptance of my daughter’s participation in the camp, I assume all risk and hazards
incidentals, and release, absolve and hold harmless ENGENDER YOUTH MENTORSHIP and all its respective officers,
employees, mentors, agents, sponsors, advertisers, participants and affiliates from any and all liability for injuries that may
arise during the GIRLS’ MENTORSHIP CAMP. There is a risk of being injured that is inherent in camp sports activities.
By signing below, I acknowledge that ENGENDER YOUTH MENTORSHIP is a Christian based Organization and for that
reason, I do here by give permission for my daughter to be taught / instructed in a Christian doctrine. I am fully aware that
all topics and disciplines to be taught in the ENGENDER YOUTH MENTORSHIP Programme will be based on the Bible and
I do here by grant my approval.
BY ACKNOWLEDGING AND CLICKING 'I AGREE' BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE. THE ELECTRONIC
SIGNATURE WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE
WILL BE EQUALLY BINDING.
The undersigned confirms that she/he is the parent or legal guardian of named minor child in this application, hereby
consents to the minor’s camp participation; consents and agrees to all provisions of this affidavit, and agrees that all
provisions of this affidavit shall be effective as to such minor child.
All information is true and correct to the best of my knowledge and belief. I understand that if my daughter is selected, I
irrevocably grant to ENGENDER YOUTH MENTORSHIP Programme and all coordinating agencies the royalty-free right to
mentor him into the right way.
Mentee Selections will be 3 days after submitting your application. Parents of the selected mentees will be notified via e-mail.