Potential Mentee's First Name

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* 1. Potential Mentee's First Name

Potential Mentee's Last Name

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* 2. Potential Mentee's Last Name

Potential Mentee's Date of Birth

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* 3. Potential Mentee's Date of Birth

Potential Mentee's Age

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* 4. Potential Mentee's Age

What school does he attend?

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* 5. What school does he attend?

What is his guardians name?

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* 6. What is his guardians name?

What is the guardian's best phone number?

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

What is the guardian's email?

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* 8. What is the guardian's email?

What is the guardian's best physical address?

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

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?

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* 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?

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

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

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

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

What recreational activities is your son involved in?

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

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

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

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. 

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* 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. 

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

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

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

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

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

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

How did you hear about Son of a Saint?

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

Please leave any comments here.

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* 20. Please leave any comments here.

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