If you’re 18+, live in Ohio, and have Medicaid, you can apply.

I confirm that I am 18 years or older and I live in Ohio, USA.

Full Name *

Email *

Date of birth *

Phone *

What Support Are You Currently Seeking?

Manage stress effectively

Find a new or better job

Start or run a business

Improve credit score

Improve health and wellness

Enroll in college or career training

Improve relationships & social skills

Learn the process for buying a home

Other

What are your expectations from your mentor?

Not sure

Challenges my thinking

Motivates & inspires

Supports decision-making

Gives practical advice

Encourages growth

Helps achieve goals

Provides accountability

Listens & understands

Offers emotional support

Do you have any specific preferences?

Male mentor

Female mentor

Hispanic mentor

Black mentor

Non-religious mentor

Older mentor (40+)

LGBTQ+ friendly

Christian mentor

Not sure

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