Soulful Mentoring Summit Registration

Soulful Mentoring Summit Registration

Fill out the form carefully for registration
If you are a mentor yearning to renew your fervor and forge meaningful change, the Soulful Leadership Professional Development Curriculum welcomes you. Join us at the Soulful Mentoring Summit and witness the compelling force of soulful leadership in action. Together, let's make a pivotal impact on the lives of our mentees. This curriculum is carefully crafted to rejuvenate and empower mentors to continue to support their mentees in a sustainable manner.

Participation Fee: $65

Limited slots! Reserve now!
Name

First NameLast Name
Email
example@example.com
Program information
What mentoring program are you affiliated with?
How many youth does your program serve?
Please describe the youth served by your program (ex. Black girls in STEM, refugee youth, middle schoolers, etc.).
Demographic Data
Please select the gender you identify with.

FemaleMaleNonbinaryOther
Please select the race(s)/ethnicity you identify with.

African American/BlackAmerican Indian or Alaskan NativeAsianLatinx/HispanicNative Hawaiian or Other Pacific IslanderWhiteOther
Please select the type of taco you would like for lunch.

Fried chicken taco - Fried chicken, avocado, pickled red onions, chipotle-bbq creme, agave hot saucePulled Pork Tacos: Chipotle-cilantro pulled pork, pickled red cabbage, cilantro-crema, chicharronesRoasted Sweet Potato and Black-Eyed Pea Tacos: Roasted sweet potato and black eyed peas, pickled red onions, avocado, cotija cheese, cilantro crema, crispy yuccaI will be bringing my own lunch
Please select a beverage for lunch.

CokeSpriteWater
If you require any accommodations, please let us know in advance.
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Soulful Mentoring Summit Registration

Program information

Demographic Data