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Mentor Form

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Mentor Form

Name

Phone Number

Email

Gender

Male Female

Are you willing to mentor a young person in the juvenile justice system?

YES NO

How Did You Hear About A Steady Hand?

Church/School News Website Other

What city would you like to Mentor in?

Dallas, Texas Wendell, North Carolina Minneapolis, Minnesota Virtual Help

Grade Level Preference K-6, 7-8, 9-12

Please describe any special interests that may be helpful in matching you with mentee.

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