Get Started

Tell us a little about yourself or the person you are reaching out for. Our team reviews every submission personally and will contact you to set up a free intro call.

How it works

1. Submit this form. It takes about five minutes.
2. We review it. A member of our team reads your information and reaches out, usually within one business day.
3. Free intro call. A short video or phone call to talk through your goals and answer your questions.
4. Choose a plan. If mentoring is a good fit, you choose a weekly or monthly plan and we match you with a mentor.

Your information

About you

Your name

Email

Phone

City and state

Who is mentoring for?MyselfA family member or loved oneA client I am referring

Their name (if not you)

Where things stand

Preferred formatVirtual, by videoIn person in Los AngelesEither or a mix

Current situationWorking or in schoolBetween jobs or changing careersBuilding independenceIn or recently out of treatment or sober livingOther

Time in recovery (if it applies)

Working with a therapist or other support? (optional)

What would you like help with?

Career and Education Money and Life Skills Health and Fitness Relationships and Family Accountability and Recovery

Tell us about your goals

Next steps

Best time to reach you

How did you hear about us? (optional)

Leave this empty

I agree that Blackburn Mentoring may contact me by phone, text or email about this request. I understand this form is not for emergencies.

Submit for review

If you or someone you love is in crisis, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911 in an emergency.