LeadUS Mentoring Program 2015-16

Welcome to 93NIGHTZ, Inc. - Mentoring Program 2020-21 Application! We are very glad to know you are interested in participating in our program and achieving all of your dreams. Please carefully read this application. Make sure the information you provide is complete and accurate. Also, please do not leave any blank space. If you have any question/issue, do not hesitate to reach us at 93Nightz@gmail.com

We look forward to seeing you join the VILLAGE!!!!

FamILY
Guardian Name *
Mobile Number *

Area Code Phone Number
Relationship to Child(ren)
Are you receiving aid from the government in the form of WIC, SNAP, TANF, TEFAP or The HUD Public Housing assistance program?

Short Answer
In the short questions, we ask you to briefly answer them, being concise and direct as well as explanatory. We would love to know more about you!!!!
What are you passionate about? *

0/250
Describe an experience where you were unsuccessful in achieving your goal. What lessons did you learn from this experience? *

0/100
Describe the world you came from and how that shaped who you are? *

0/140
Be Awesome & Be Yourself!!!!!

Submission
Is there any other information that you would like to share with us?
Did you have any problem while filling out this form? If so, please report it below
Do you agree to submit to us your personal, familiar, and educational information and are aware that we will not use those informations instead of and only for 93NIGHTZ Program's purposes? Also, be sure that once you submit this Application Form you will not be able to do any changes or remove any information. *

Yes, I agree / Understand
Should be Empty:

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