Youth Mentorship, Community, and wellness Program!

We’re excited to offer this 100% free mentorship and wellness program for young people of color and underserved communities ages 8–26 in Denver Metro . This youth mentorship and wellness program is designed to empower young people with confidence, purpose, life skills, and access to supportive mentors and professionals. Through group mentorship, interactive workshops, tech and career exploration, and creative learning experiences, youth will build resilience, discover new opportunities, and connect with a community that supports their growth.

Please complete this short form to sign up. Spaces are limited, so reserve your spot today!

Your privacy matters to us.
Information collected through this form is used only to determine eligibility and connect participants with free wellness and mentorship services through the Colorado African Innovation and Cultural Center (CAICC).

Your information is not sold and is shared only with licensed providers and program partners directly involved in delivering care. All data is handled confidentially.

You may request access, correction, or deletion of your information at any time by contacting:
[email protected]

Participant Information

Full Name of Youth (First & Last) *

Age *

Please select the option that best describes you

Youth (18–26) signing up for myself

Parent/guardian signing up my child (under 18)

Parent/Guardian Name (if under 18)

Contact Email *

Phone Number *

Eligibility & Interests

Do you live in Denver County? *

Yes

What would you like to gain from this program? *

Preferred way to be contacted: *

Phone

Text Message

Are you interested in our cultural arts program ? *

Yes

Maybe

Consent & Authorization

By submitting this form, I give permission to the Colorado African Innovation and Cultural Center (CAICC) to collect and securely store my information. I understand that my information will only be used for the purpose of contacting me about program updates, opportunities, and benefits related to CACC programs. I consent to being contacted by phone, email, or text message regarding participation, resources, and events. I understand that my information will not be shared with outside organizations without my permission.