BBBYEG Mentor Application Form

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BBB girls youth empowerment group is a mentoring program that has the tools to develop young ladies into productive leaders that are able to make major contributions to their community. We challenge our girls to pursue their passion. Through mentorship and sisterhood we aim to develop self defined girls who are ready to lead in their community.

Email *

Date *

YYYY

First Name *

Last Name *

Birthdate *

YYYY

Address: Street, City and Zip *

School or University Name *

Emergency Contact Information ( Name and Number)

Select the pillar you would like to lead *

Total Wellness

Financial Literacy

Workforce Development/Entrepreneurship

Scholarship

Black History

Community Support

Leadership

College Readiness/Collège Tour

Why do you want to become a mentor? *

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