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Mentor Application
Our program is designed to empower young men by building lasting relationships and instilling core principles in them that will equip them to overcome any obstacles and have a successful future.
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Mentor First Name
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Your answer
Last Name
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Your answer
Phone Number
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Your answer
Email
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Postal / Zip Code
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Your answer
Will this be your first time participating in a mentoring program?
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Yes
No
If no, in what capacities have you served as a mentor or had a mentor yourself, and what was your experience like?
Your answer
Can you commit to meeting with MYM or mentee for at least one hour, once a month?
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Yes
No
Why do you believe you would be a strong mentor?
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Your answer
Please provide any other information you believe would be important in review of this application.
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Your answer
I understand and agree with the MYM Requirements & Criteria.
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Yes
No
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