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BELOVED BROTHERS INC
ABOUT US
SERVICES
FOOD DISTRIBUTION
COMPUTER LAB
COMMUNITY SERVICE
PROGRAMS
YOUTH MENTORSHIP
BUSINESS DEVELOPMENT
VOLUNTEER
EVENTS
DONATE
CONTACT
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Participant Information
First name
*
Last name
*
Address
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Phone
*
Email
*
Age
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Grade
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School
*
Parent/ Guardian Information
Parent/ Guardian Full Name
*
Relationship to Participant
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Phone
*
Email
*
Background Information
Why are you/your child interested in joining this program?
*
What goals would you like to achieve through this program?
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Has the participant ever been involved in mentoring, community service, or youth programs before?
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Yes
No
If yes, please explain
List any extracurricular activities or hobbies
*
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