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2nd District 2022 -2024 Mentor Program Status
Chapters Please Complete by August 23, 2024
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* Indicates required question
Corridor
*
1
2
3
4
5
6
7
Chapter Name
*
Your answer
Chapter FMC Chairman Name
*
Your answer
Chapter FMC Chairman Cell Phone
*
Your answer
Chapter FMC Chairman Email
*
Your answer
Mentor Website Page (Cut & Paste Link or indicate NONE)
*
Your answer
Mentor Facebook Link (Cut & Paste Link or indicate NONE)
*
Your answer
Mentor Instagram Link (Cut & Paste Link or indicate NONE)
*
Your answer
Chapter City
*
Your answer
Program Started
*
No Program
2024
2020 - 2023
2015 - 2019
2001-2014
Before 2000
Program Focus
*
Career Exploration
Social Emotional Learning
Academic Enrichment
Recreation
Other
Do Mentors Complete Record Checks
*
Yes
No
Youth Grade Level
*
Elementary
Middle
High
Young Adults
# Children Served Per Event
*
0
1-10
11-20
21-30
31-50
59+
2022
2023
2024
0
1-10
11-20
21-30
31-50
59+
2022
2023
2024
# of Brothers (mentors)
*
0
1-4
5-10
10+
2022
2023
2024
0
1-4
5-10
10+
2022
2023
2024
Program Funded (Select Best Answer)
*
Not Funded
Chapter Dues
Grants
Fund Raisers
Partnerships
Fee Based
Other
How Often Program Meets
*
No Program
Weekly
Bi-Monthly
Monthly
Quarterly
Annually
Other
List Barriers (Check All That Apply)
*
Lack of Funding
Brother's Interest
Brother's Time Availability
Need for Training
Space to host events
Other
Required
Does your program have a Policy Manual
*
Yes
No
How many youth do you project impacting in 2024/25?
*
0
1 - 10
11 - 20
21 - 30
30 - 50
50 - 100
100+
How many fathers do you project impacting in 2024/25?
*
0
1 - 10
11 - 20
21 - 30
30 - 50
50 - 100
100+
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