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Who We Are
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Mentor Application
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Volunteer Monthly Contact Form
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Volunteer Monthly Contact Form
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Month (Required)
Name of Volunteer
First Name *
Last Name *
Volunteer Email (Required)
Name of Youth
First Name *
Last Name *
Time & Money Summary (Required)
Dates of Contact: Hours Volunteered: Amount of Money Spent:
Activities: Describe briefly what you did during each visit with your mentee. (Required)
Describe any changes in attitude, behavior, values or feelings that were evident in your discussions and activities this month? (Required)
Did you talk to anyone in the community on behalf of your mentee? (Required)
Examples: teacher, pastor, scout or 4-H leader, etc.
Challenges: Did you encounter any difficult situations with your mentee or their family? (Required)