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Mentee Intake Form

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Parent/Guardian Information

First Name

Last Name

Relationship to Mentee

Contact Phone

The Detroit Boys Mentoring is a Free Mentoring Experience, however we do ask for a DONATION of 50.00 per child for all starter materials. Would you be able to cover this DONATION?

Yes

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Mentee Information

First Name

Last Name

Contact Phone

What is the mentee's current school?

What grade is the mentee in?

Mentee Age

T-shirt Size

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Mentee Mailing Address

Street Address

City

Zipcode

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General Information

What motivated you to join The Detroit Boys Mentoring Club?

How did you hear about program?

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Interests and Passions

What are your passions or hobbies?

Are there any specific areas or subjects you are particularly interested in exploring or learning more about?

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Education and Goals

What are your academic strengths?

Are there any subjects or areas in which you feel you need extra support?

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Expectations

What do you hope to gain from being a part of this mentoring program?

What are your expectations from your mentor?

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Additional Information

Do you have any medical conditions, allergies, or special requirements we should be aware of?

Is there anything else you would like to share with us about yourself?

313-241-0458

Contact Us

Mentee Intake Form

Inspire & Empower the Future

Succeeding Together, Striving Forever: Empowering Detroit's Future Leaders!.

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Email

info@thedetroitboys.org

Call

313-241-0458