B.O.S.S. Mentoring, Inc. Mentee Pre-Application 2021-2022
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Email *
What Mentoring Year? *
Child's Full Name *
Child's Age: *
Has your child been apart of B.O.S.S. Mentoring, Inc. in previous years? *
What school does your child attend?........ What City? *
Is your child receiving any other services? (ex. wraparound, in-home counseling, therapy) *
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 your child would benefit from? *
Is your child receiveing any wraparound services (ex. counseling, thearpy, in-home counseling) *
Will your child be able to attend sessions every Monday? (located in Camden, NJ) *
Is your child involved in any activities that could stop them from attending sessions on Mondays? *
Are both parents actively involved? *
Parent(s)/Guardian(s) Name *
Parent(s)/Guardian(s) Phone number *
Will you be able to pay a $50 enrollment fee for the year? *
Other Questions? Comments?
A copy of your responses will be emailed to the address you provided.
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