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Mentee Application

Mentee Information

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This question requires a valid date format of MM/DD/YYYY.
calendar
Preferred language/s *This question is required.
Interests *This question is required.
Does the mentee have a church they attend? *This question is required.
Has the mentee ever been involved with the Juvenile Justice System? *This question is required.
Has the mentee qualified for government assistance in the last 24 months, i.e., Food Stamps, WIC, Housing, TANF/AFDC, etc.? *This question is required.