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CBB Youth Interactive Enrollment Form
Thanks for your interest in becoming a mentor with CBB's Youth Interactive Program. Please complete the following fields below.
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First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
What is your area(s) of interest?
*
Academic Mentoring
Civic Mentoring
Experiential Mentoring
Required
Why are you interested in this area(s) of volunteerism?
*
Your answer
Describe what skills you have and can you provide.
*
Your answer
How many hours are you able to devote (per week/per month)?
*
Your answer
Would you be willing to attend a welcome and training session at YI offices? (Y/N)
*
Your answer
If you are interested specifically in being an Academic or Civic mentor, please complete section 2 and/or 3. Otherwise, you may skip to the Enrollment Agreement in section 4.
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