Mentor Sign Up Form

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Mentor Sign Up Form

Y Disciple is run with parents and Mentors, If you are filling out this form you are wanting to be a mentor for Saint Clare of Assisi Youth Group. If you would like more information about what it means to be a mentor please read this document: https://ydisciple.com/wp-content/uploads/2019/07/Promotional-Layout-Example.pdf. If you have any questions or concerns please reach out to Christopher Platt: cplatt@stcpaz.org

Email *

First Name *

Last Name *

Phone Number *

Have you been Safe Environment Certified? *

Yes

I don't know

What Grade level would you like to work with? *

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

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