B.O.S.S. Mentoring, Inc. Mentee Preliminary Application
Email address *
What Mentoring Year? *
Child's Full Name *
Your answer
Child's Age: *
Has your child been apart of B.O.S.S. Mentoring, Inc. in previous years? *
What school does your child attend? City? *
Your answer
Is your child receiving any other services? (ex. wraparound, in-home counseling, therapy) *
Your answer
What grade is your child in? *
Do you think your child(ren) will benefit from a mentor? *
Not really
Yes! Very much So!
Is there anything specific you think you child would benefit from? *
Your answer
Are both parents actively involved? *
Parent(s)/Guardian(s) Phone number *
Your answer
Parent(s)/Guardian(s) Name *
Your answer
Other Questions? Comments?
Your answer
A copy of your responses will be emailed to the address you provided.
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