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Amachi Mentee Application

Please complete a separate application for each child. The following application will allow Amachi Pittsburgh to gain valuable information about the child you hope to enroll in the program. If you do not want to answer a question, please skip the question. However, we appreciate and stress your cooperation in answering the questions you are able to answer to the best of your ability. 
Please answer the follow questions about the MENTEE
This question requires a valid date format of MM/DD/YYYY.
Does the mentee identify as Hispanic or Latino?  *This question is required.