Alpha Academy Mentor Form
Brothers, please complete this form if you like to consider mentoring our young Pharaohs  that will be participating in our Alpha Academy. This form will allow us to match a Brother and mentee based on their level of interest, likes, academic support, and facilitative ways to support and promote the development of the mentee. The mentor will develop a relationship with their mentee to promote positive family and peer relationships, development and decision-making as well, and encourage participation with Alpha Academy.
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First and Last Name: *
Membership Number: *
Email address: *
Phone Number: *
Would you like to be considered for mentorship in the Alpha Academy? *
If yes, are you willing to have weekly check-ins with your mentee? *
If provided the opportunity, would you consider a monthly or bi-monthly outing with your mentee? *
Are you willing to support your mentee to promote positive family and peer relationships, development, decision-making, and participation with Alpha Academy? *
Do you prefer to mentor middle school or high school participant? *
Occupation *
Please list some of your interests (i.e. sports, leisure activities, etc.): *
As part of your efforts to mentor, you will have the opportunity to volunteer in Durham Public Schools since our Pharaohs will be enrolled in one of the local schools and be an intricate part in the development and success. Will you be willing to complete the volunteer application and undergo a brief background check. The volunteer approvals are valid for two years. If select yes, you will be given further directions in completing the form: *
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