Important: If your are under 18, please have a parent or guardian fill out this form with you.

Contact Information

First Name *

Last Name *

Email *

Phone *

Address *

Street Address

City

State

Country

Postal Code

What’s your relation to TigerMountain Foundation?

Would you like to receive TigerMountain News and impact updates? *

Yes

Tell Us About Yourself

We'd love to get to know you a little better. The information below helps us understand who we're working with and how we can best support your journey.

How do you identify ethnically? *

What are your preferred pronouns? *

What is your gender identity? *

Do you identify as LGBTQIA+? *

Date of Birth

What is your age range? *

What is your approximate annual household income? *

Have you or a family member served in the U.S. military? *

Do you or a family member identify as a person with a disability? *

Have you or a family member been impacted by the justice system? *

Setting SMART Goals

S.M.A.R.T. Goals are: Specific • Measurable • Achievable • Relevant • Time-Bound

Every great goal starts with a vision. Take a moment to think about what you want for your life — then answer the questions below to put it into words.

What's your availability for this journey? *

Do you have any prefences about your mentor's background? *

For example: gender, ethnicity, community, etc.

Describe your goals. There are enough spaces for you to name up to 5 goals, but don't feel pressured to fill each line. Only set as many as feels right for you.

SMART Goal #1 *

SMART Goal #2

SMART Goal #3

SMART Goal #4

SMART Goal #5

What skills do you CURRENTLY have that can help achieve your goals? *

What new skills do you require to help achieve your goals? *

What challenges make it harder for your to achieve your goals? *

What are your special interests? *

Any areas that you're particularly interested in. These can be work-related or personal interests.

Which resources are you most in need of? *

Choose all the apply. Multiple selections are allowed.

Important: If your are under 18, please have a parent or guardian fill out this form with you.

Contact Information

Tell Us About Yourself

Setting SMART Goals

Your Starting Point

Mindset & Personal Growth

Self-Worth & Reputation

Relationships & Community

Safety & Stability

8 Dimensions of Wellness

How You See Yourself

Your Relationships and Community

Your Resources and Stability

Your Environment and Healthcare

Area of Focus