Join a Nexus Pod

You are invited to embark on a journey to a more fulfilling future.

Nexus Pod Registration

Nexus Pods are open for young adults (21-35 years-old). Once the registration form and fee are completed and paid, you will receive an introductory call in November/December to determine the best pod placement for you. Please set aside 20 minutes to complete the registration form below.

Note: Registration payment link available after form submission or in the Contact menu.

Name

First Name

Last Name

Phone

(###)

###

####

Age Range

Birthday (MM/DD)

Current School or Employer (if none, enter N/A)

LinkedIn Profile URL

http://

How did you hear about Nexus Mentoring?

Why are you interested in joining Nexus Mentoring?

What are your hobbies/interests?

What is your gender identity?

This question will be used to form your mentor pods.

What is your Pod Location preference?

What is your pod preference?

What are the best ways to communicate with you? (Select all that applies.)

FB Messenger

SMS Text

Instagram

Other

Any questions or comments?

We’re committed to your privacy. The information you provide in this form will be stored electronically and confidentially by Nexus Mentoring for the purpose of Nexus Pods only. By submitting this form, you are consenting to Nexus Mentoring’s storage and sharing of this data.