KEY P.E.A.R.L.S. MENTEE APPLICATION

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Please complete the application in its entirety.

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Letter From The KEY P.E.A.R L.S. Committee

Greetings Prospective KEY P.E.A.R.L.S.:

We welcome you to an exciting opportunity to take part in the Kappa Epsilon Psi Military Sorority Inc. mentoring program. The purpose of the program is to provide young ladies with the foundation needed to develop into powerful, successful achievers, who stand-up to adversity and retreat from negativity, through mentorship.

The Sorors of Kappa Epsilon Psi Military Sorority Inc. will begin mentoring young ladies from the age of 11-14 from January – June 2022. As a prior KEY P.E.A.R.L.S. you are eligible to participate in the National Re-launch line.

Participation in KEY P.E.A.R.L.S. offers guidance and life skills development to young ladies through encouragement, education, and mentorship from pre-adolescence to young adulthood.

Please take a few minutes to complete the application. We look forward to mentoring you!

Thank You,
KEY P.E.A.R.L.S Committee

Name (First and Last) *

Age *

Date of birth *

ÁÁÁÁ

Race/Ethnicity *

Home Street Address *

City/State *

Zip Code *

Home Phone *

Cell Phone *

Email Address *

School Name *

Grade *

Shirt Size *

Do you have a Individualized Education Program (IEP)? If Yes, list your accommodations, modifications, and any required dedicated aid (annotate N/A if not applicable). *

Are you in JROTC? *

If Yes, which service

Do you have any juvenile offenses/convictions? If yes, provide details below. *

Yes

Áskilið

What were the circumstances surrounding the juvenile arrest or conviction? Include date, location, and disposition of case.

Áfram

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