diff --git a/community/forms.py b/community/forms.py
index 25c28935..c3e00d39 100644
--- a/community/forms.py
+++ b/community/forms.py
@@ -1,5 +1,9 @@
+from datetime import datetime
+
 from django import forms
 
+TODAY = datetime.now().today()
+
 
 class JoinCommunityForm(forms.Form):
 
@@ -129,3 +133,18 @@ class CommunityEvent(forms.Form):
         help_text='DateTime Format should be YYYY-MM-DD HH:MM:SS',
         widget=forms.TextInput(attrs={'autocomplete': 'off'})
     )
+
+
+class OrganizationMentor(forms.Form):
+    user = forms.CharField(
+        max_length=50, label='GitHub Username',
+        widget=forms.TextInput(attrs={'autocomplete': 'off'})
+    )
+    year = forms.ChoiceField(
+        choices=[(TODAY.year, TODAY.year),(TODAY.year + 1, TODAY.year + 1)],
+        label='Mentoring Year', widget=forms.Select()
+    )
+    program = forms.ChoiceField(
+        choices=[('GSoC', 'Google Summer of Code'), ('GCI', 'Google Code-In')],
+        label='Mentoring Program'
+    )
diff --git a/community/views.py b/community/views.py
index a3e2ce67..b27318a8 100644
--- a/community/views.py
+++ b/community/views.py
@@ -12,7 +12,12 @@
     get_org_name,
     get_remote_url
 )
-from .forms import JoinCommunityForm, CommunityGoogleForm, CommunityEvent
+from .forms import (
+    JoinCommunityForm,
+    CommunityGoogleForm,
+    CommunityEvent,
+    OrganizationMentor
+)
 from data.models import Team
 from gamification.models import Participant as GamificationParticipant
 from meta_review.models import Participant as MetaReviewer
@@ -42,6 +47,14 @@ def initialize_org_context_details():
     return org_details
 
 
+def get_community_mentor_form_variables(context):
+    context['organization_mentor_form'] = OrganizationMentor()
+    context['organization_mentor_form_name'] = os.environ.get(
+        'MENTOR_FORM_NAME', None
+    )
+    return context
+
+
 def get_community_event_form_variables(context):
     context['community_event_form'] = CommunityEvent()
     context['community_event_form_name'] = os.environ.get(
@@ -58,12 +71,18 @@ def get_community_google_form_variables(context):
     return context
 
 
+def get_all_community_forms(context):
+    context = get_community_google_form_variables(context)
+    context = get_community_event_form_variables(context)
+    context = get_community_mentor_form_variables(context)
+    return context
+
+
 def get_header_and_footer(context):
     context['isTravis'] = Travis.TRAVIS
     context['travisLink'] = Travis.TRAVIS_BUILD_WEB_URL
     context['org'] = initialize_org_context_details()
-    context = get_community_google_form_variables(context)
-    context = get_community_event_form_variables(context)
+    context = get_all_community_forms(context)
     print('Running on Travis: {}, build link: {}'.format(context['isTravis'],
                                                          context['travisLink']
                                                          ))
diff --git a/templates/community_forms.html b/templates/community_forms.html
index a8b31d28..9a18efab 100644
--- a/templates/community_forms.html
+++ b/templates/community_forms.html
@@ -105,3 +105,53 @@ <h5 class="text-center custom-green-color-font bold-text">
     <input class="waves-effect waves-light btn-large large-font" type="submit" value="Submit">
   </div>
 </form>
+
+<form name="{{ organization_mentor_form_name }}" method="post"
+      netlify-honeypot="bot-field" class="mentor-students-form display-none"
+      data-netlify="true" action="/">
+  <h5 class="text-center custom-green-color-font bold-text">
+    Mentoring Program Details
+  </h5>
+  {% csrf_token %}
+  {% for field in organization_mentor_form %}
+    <div class="row">
+      <div class="input-field col s12">
+        <p><label for="{{ field.name }}">{{ field.label }}</label></p>
+        {{ field }}
+        {% if field.help_text %}
+        <i class="fa fa-info-circle" aria-hidden="true">{{ field.help_text }}</i>
+        {% endif %}
+      </div>
+    </div>
+  {% endfor %}
+  <div class="validation-checkboxes">
+    <p>
+      <label>
+        <input type="checkbox" required>
+        <span>I am a member of {{ org.name }} developers group.</span>
+      </label>
+    </p>
+    <p>
+      <label>
+        <input type="checkbox" required>
+        <span>All of the above information provided by me has no false
+          entries. If so, I am liable of getting blacklisted.</span>
+      </label>
+    </p>
+    <p style="display: none">
+      <label>
+        <input type="checkbox" name="bot-field">
+        <span>I am a bot</span>
+      </label>
+    </p>
+    <p>
+      <strong>
+        Note: You will receive an email within 24 hrs, if any of the
+        validation checks are not passed.
+      </strong>
+    </p>
+  </div>
+  <div class="apply-flex center-content submit-btn">
+    <input class="waves-effect waves-light btn-large large-font" type="submit" value="Submit">
+  </div>
+</form>