Windsor County Partners

Program Forms

WCP takes great care to ensure the well being of the Junior Partners who participate in our youth mentoring program. To aid us in this effort, WCP requires that a number of forms be completed. You can download these as Microsoft Word or PDF documents, fill them out, and either mail back to us by post or send as an attachment in an email.

To refer a child to the PALS, community-based program, use either the Parent or School/Agency referral form below. The Permission for Release of Information form must be completed by the parent/guardian and returned with the referral form to our office.

If you would like to become a mentor, fill out the LDL application for the school program and the PALS application for the community program.

Once you are a member of WCP, PALS mentors complete the Activity Log monthly. Evaluation forms are completed by PALS mentors, parents/guardians and mentees at the first 6 months and then 12 months thereafter. The Permission for Release of Liability must be completed by the parent/guardian for all PALS out-of-area trips, All Partner Events and overnights in advance of the event.

Such forms help clarify WCP's principles and offer concrete guidelines which help the program run as smoothly and safely as possible. Our top priority is the well-being of the young people we serve. Thank you so much for your understanding of this as you cooperate with our paperwork and permission requirements.

Download program forms in either Microsoft Word or PDF format below, and complete and return to us. Please don't hesitate to contact us if you have any questions.

  • Permission for Release of Information  [ pdf 2014 ] 
  • Permission for Overnight/Out-of-Area [ pdf ]
  • Referral Form, Parent  [ pdf 2014 ]  
  • Activity Log [ pdf ]  
  • Let's Do Lunch (LDL) Mentor Application  [ pdf ]  
  • Referral Form, School/Agency  [ pdf 2014 ] 
  • Senior Partner Mentor Application  [ pdf