R.E.A.C.H. Mentee Application

 Relationships E.mpower and A.ffirm C.ommunity H.ealing a collaboration between BPS Student Support, Mayors Office of Black Male Advancement and My Brother's Keeper
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Name of Student *
School 
Name of Person/Organization/Parent Referring Student
Student Email *
Student Phone Number *
Parent Phone *
Parent Email *
What do you hope to gain from having a mentor? *
What qualities are you looking for in a mentor? *
What challenges or goals would you like to address through this program? *
Would you be interested in a virtual mentor (example a lawyer from California) *
How much time can you commit a month to meeting with your mentor and other REACH-1000 events? *
Is there anything else you'd like us to know about you or any additional support you'd like to receive from the program? *
If there was one trip, experience, activity you would like to do, what would it be? *
Questions/Comments
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