Help Request Form
We have a team of brothers waiting to support and connect you with resources.
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First Name *
Last Name *
Email address
Referring Organization
Referring organization contact person (if applicable)
Participant Type (select one)
Age 18-35 seeking mentorship
Resource provider
If a resource provider, please indicate in which areas you can be a resource to either ManUp or our mentees.
If seeking mentorship, are you a returning citizen or have a criminal record? This will not impact your ability to participate and could lead to additional relevant services.
Mobile number *
Which area of Philly are you closest to? *
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