Little Sisters Application
To be filled put by Parent or Guardian. The Child requesting mentorship is the applicant
Applicant's Last Name *
Your answer
Applicant's First Name *
Your answer
Applicant's Middle Name
Your answer
Applicant's Birthdate *
MM
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DD
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YYYY
Parent or Guardian Name(s) *
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent or Guardian Cell Phone *
Your answer
Parent or Guardian Home Phone
Your answer
Parent or Guardian Work Phone
Your answer
Which number is best to reach you? *
Required
Applicant's Phone Number *
If different from Parents
Your answer
Tell us About You
To be answered by the child
What do you like to do for fun? *
Your answer
What do you want to be when you grow up? *
Your answer
How Do you Define Success? *
Your answer
Why do you want to join the ToGetHer Empowered mentoring program? *
Your answer
What do you expect to gain from participating in the mentoring program? *
Your answer
What mentoring program are you applying for? *
Required
Recruitment Purposes
This information helps us know where our mentors are coming from within the community so that we can match them with a mentee in their area.
In which city do you reside? *
Your answer
What school does the child attend? *
Your answer
What grade is the child in? *
Your answer
How many people are in your household? *
Your answer
Does the applicant have any siblings? *
Required
If yes, please list their names and ages.
Your answer
Household Income *
Your answer
Program Overview
The ToGetHer Empowered Mentoring Program is designed with the purpose of uniting women and girls of color together to form a bond of sisterhood. Mentors undergo a extensive interview process and criminal background check prior to being matched with a mentee. The is no obligation to join the ToGetHer Empowered mentoring program. Participants can resign from the program at any time. There is NEVER any cost or fee's associated with participating in the mentoring program.
I fully understand the requirements and agree to participate in the ToGetHer Empowered mentoring program.
Applicant Signiture *
Your answer
Parent or Guardian Signiture *
Your answer
Today's Date *
MM
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