Applicant's Name
We are an inclusive program that is welcoming & accepting of all sexual orientation, gender identity or expression, race, background, and physical ability.
How does the Applicant Identify?
Guardian's Phone Number
Applicant's Phone Number
Age of Applicant
School Applicant Attends
Current Grade Level
Mentoring Site (Choose best location for you.)
What are the Applicant's favorite hobbies or activities?
What are some areas the Applicant is current struggling?
What are you hoping to get out of our program?
Do you have any fears or concerns you would like to discuss?
What area are you most interested in?
What shirt size is the Applicant?
Anything else you want us to know?
Education/Career Development
Fashion/Beauty
Entrepreneurship/Leadership
Health/Wellness
Other
Oakwood Shores Community Center
Morgan Park
Lloyd Boyd Elementary
YMCA - Roswell B Mason Elementary School
YMCA - Kelly
Englewood Excel Academy
YMCA - Daniel Webster Elementary
Art In Motion
Fairy Application
Applicant's Name
We are an inclusive program that is welcoming & accepting of all sexual orientation, gender identity or expression, race, background, and physical ability.
How does the Applicant Identify?
Guardian's Phone Number
Applicant's Phone Number
Age of Applicant
School Applicant Attends
Current Grade Level
Mentoring Site (Choose best location for you.)
What are the Applicant's favorite hobbies or activities?
What are some areas the Applicant is current struggling?
What are you hoping to get out of our program?
Do you have any fears or concerns you would like to discuss?
What area are you most interested in?
What shirt size is the Applicant?
Anything else you want us to know?
Education/Career Development
Fashion/Beauty
Entrepreneurship/Leadership
Health/Wellness
Other
Oakwood Shores Community Center
Walker Elementary
Lloyd Boyd Elementary
Marshfield Gardens Community Center
YMCA - Roswell B Mason Elementary School
YMCA - Libby Elementary School
Dawes Elementary
YMCA - Daniel Webster Elementary
Carroll Elementary
Gary Comer
Fairy Application