* 1. Potential Mentee's First Name

* 2. Potential Mentee's Last Name

* 3. Potential Mentee's Date of Birth

* 4. Potential Mentee's Age

* 5. What school does he attend?

* 6. What is his guardians name?

* 7. What is the guardian's best phone number?

* 8. What is the guardian's email?

* 9. What is the guardian's best physical address?

* 10. We only accept boys between the ages of 10-13 that have lost their fathers to violence, natural causes or long term incarceration(15 years or more). We can not accept absent/willful neglect cases at this time. Which category fits the mentees situation?

* 11. Explain the mentees fatherless situation. More detail, the better.

* 12. What is your child's ethnicity? (Please select all that apply.)

* 13. What recreational activities is your son involved in?

* 14. How many siblings of the mentee live in the same house with him and what are their ages.

* 15. Does the mentee have transportation to and from events? If not, explain. Unfortunately we can not provide transportation to and from events at this time. 

* 16. Does a male over the age of 18 live in the same house as the mentee?

* 17. Does your son know a boy that is in our program? If so, what is his name?

* 18. Will the guardian be able to commit  4 volunteer hours a month to our organization?

* 19. How did you hear about Son of a Saint?

* 20. Please leave any comments here.

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