Mentorship Intake Fall 2025

Mentorship Intake Fall 2025

Girls on a Mission with Ambition

MENTOR PROGRAM
We are a 501c3 Nonprofit Org serving young black and brown girls residing in Union County and surrounding areas.

Fall 2025 MENTOR PROGRAM

STARTING ON September 24, 2025

Address: Mickie Walker Center

860 Anna St, Elizabeth, NJ 07201

Every Wednesday from 6-7:30pm

Contact Information

Phone:908-293-7772

Email: info@girlsonamissionwa.org

**Please complete this intake form and join us on site at the location listed above. Thank you for your interest!

Note: When you come in person you will recive a Mentee Packet for parents to complete and this will confirm your spot as a mentee in our program.

We are excited to welome you into our sisterhood!

Core Intiatives: Financial Literacy, Mental Health, Esteem Building, Personal and professional development.
Today's Date*

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Child's Name*

First NameLast Name
Email
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Area CodePhone Number
Age*
Current Grade Level*
Address

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CityState / Province

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School Name*
Parent/Guardian Name*

First NameLast Name
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Area CodePhone Number
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