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Mentoring Mentee, Disha Roddy

Mentoring Mentee
(Ages 19-27*)

Fill out the registration form and click submit. We look forward to welcoming you to the SMH community.

*Mentoring Mentees can be Mentees until age 30 (must be 30 within the calendar year). See Director for special circumstances.

SMH MENTORING MENTEE REGISTRATION FORM

Birthday
Month
Day
Year
T-Shirt Size
Multi-line address
COLLEGE ADDRESS
T-Shirt and Activity Fee
$35
T-Shirt and Activity Fee Paid
Yes
No
Background Check Date
Month
Day
Year
Background Check Pass
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