Apply to Join Beyond Breakfast

Take the first step toward structure, mentorship, and growth. Choose your track and complete your application below.

What Happens After You Apply?

Submit Application

Fill out the form below with your information.

Application Review

Our team reviews your application within 5-7 business days.

Intake Assessment

Complete a brief assessment to personalize your growth plan.

Orientation & Matching

Attend orientation and get matched with your mentor.

Begin Your Journey

Start weekly sessions, journaling, meals, and mentorship.

$125/month (12-month program)

$1,350/year (save $150)

Scholarships available — no one turned away

Select Your Track

Personal Information

First Name *

Last Name *

Email *

Phone

Date of Birth *

City / Neighborhood *

School Status

Work Status

Parent / Guardian Information

Required for all applicants under age 18.

Guardian Full Name *

Relationship

Guardian Phone *

Guardian Email *

Emergency Contact

Contact Name

Contact Phone

Primary Challenges

Select all areas where you'd like support (select all that apply).

Your Goals

Where do you see yourself in 3 months?

Where do you see yourself in 6 months?

Where do you see yourself in 12 months?

Preferred Meeting Days

Select all days that work for you.

Additional Information

How did you hear about us?

I would like to request scholarship / fee assistance

All requests are confidential. No eligible student will be turned away for inability to pay.

Agreements & Consent

I agree to the Code of Conduct *

I will respect all participants, mentors, and staff, and follow program rules.

I agree to the Participation Waiver *

I understand the nature of program activities and accept responsibility for participation.

Photo/Video Release (optional)

I consent to photos/videos being used for program promotion and social media.

Parent/Guardian Consent *

As the parent/guardian, I consent to my child's participation in this program.