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MENTOR APPLICATION
MENTEE APPLICATION
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CONTACT
Parent/Guardian first and last name
*
Mentee First and last
*
Email
*
Phone
*
Give as much information about your child (including special needs and troubles)
*
School Performance
*
performing well
average
struggling
please help
Social Performance
*
performing well
average
struggling
please help
interests/hobbies
*
Art
Music
Sports/Outdoor Play
Animals and Nature
Video Games
Reading
Comic Books
Board Games
Movies
LEGO
Building Models
Crafts
Baking or Cooking
Playing with Friends
Collecting Things
In your opinion how could your child benefit most from a mentor?
*
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