CWUY - Benchmark Rite of Passage Responsibility Education Program (BROPRE)

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Mentorship Application

Please type your name? *

Home Address

Phone number *

Email Address *

How would you like to be contacted? *

Phone Call

Text

Gender *

Female

Male

Prefer not to say

Are you a CWUY member? *

Yes

Other:

What is your occupation? *

Why are you interested in being a mentor *

Have you ever been a youth mentor before? *

Yes

Have you been a BROPRE mentor in the past? *

Yes

Are you willing to commit to 2-4 hours every month for at least one year? *

Yes

Are you willing to travel to meet your designated mentees? *

Yes

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