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Home
About
The Ecosystem
Hardy Brothers’ Foundation
Your Inner Mojo Coach
Your Inner Mojo Lounge
Inner Mojo Apothecary
Impact Stories
Start/Join a Pod
Donate
Contact & Partnerships
Pod Portal
Member Login
Who want to apply to lead a pod
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Please enable JavaScript in your browser to complete this form.
Personal Information
Full Name
*
Email Address
*
Phone Number
*
Date / Time
*
Date
Time
Country & City of Residence
*
Preferred Pronouns (optional)
Emergency Contact Name
*
Emergency Contact Number
*
Experience & Background
Do you have experience working with youth? (Yes/No + description)
Do you have experience leading groups or mentoring?
Why do you want to become a Pod Leader? (Short answer)
What communities are you most passionate about serving?
What strengths would you bring to youth leadership?
Availability
What days/times are you available for weekly pod meetings?
How many months are you willing to commit?
Are you available for required training sessions? (Yes/No)
Technology & Access
Do you have consistent internet access?
Do you have a device to access the IMR portal weekly?
Safety, Compliance & Background Checks
Will you consent to a criminal background check? (Required)
*
Are you willing to follow all IMR youth safety protocols?
Have you ever been investigated for misconduct involving minors? (Yes/No)
Yes
No
Have you ever been convicted of a crime involving violence, harm, or exploitation of youth? (Yes/No)
Yes
No
Signature box acknowledging:
*
All information is truthful
Background checks are mandatory
Non-compliance = automatic disqualification
(If international, allow for country-specific background documentation.)
Additional Optional Questions
Reference #1: Name, Email, Phone, Relationship
Reference #2: Name, Email, Phone, Relationship
References
Do you prefer to lead in-person or virtual pods?
Which age group do you prefer to work with? (12–15 / 16–18 / 18–25)
been for youth?
Languages spoken
Do you have access to a community space to host sessions?
Any special skills? (Arts, music, sports, literacy, healing practices, etc.)
Submit
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