16 Yards Mentoring Service Agreement

Name *

First Name

Last Name

Phone

(###)

###

####

Name *

First Name

Last Name

Current status

Living in community

In custody

Has the young person been informed of the referral?

Yes

No

Not yet — would like support introducing the service

Select one of the following:

5-week mentoring block (100% upfront payment required)

10-week mentoring block (50% upfront / 50% at week 5)

20-week mentoring block (50% upfront / 50% at week 10)

Custom arrangement (if previously discussed and agreed with 16 Yards)

Is a Purchase Order (PO) required for invoicing?

Yes

No

Preferred invoice structure

Standard block structure (as above)

100% upfront payment

Split invoice due to funding cap

Checkbox

I understand this service agreement must be completed prior to commencement of mentoring.

I understand that mentoring sessions require 24 hours’ notice to cancel, or the session will be invoiced in full.

I will invite the mentor to relevant care team meetings.

I will assist with adding the mentor to the call list if the young person is in custody.

I will support urgent or short-notice contact if required while the young person is in custody.

I will ensure the young person understands that the mentor is not a worker — they are a mentor, independent of care team duties.

I will share any mentoring-related plans, strategies, or documents with the mentor directly before decisions are made.

I acknowledge that mentors may at times have pre-existing community or cultural ties to the young person or their network, and that these relationships are often valuable and strategic. I understand that all mentors are held to a high standard of professionalism.