Mentee Application

Circle any characteristics that you feel apply to your child

I give my permission for my child to participate in the Lakes Area Kinship program. I also give my permission and consent for Lakes Area Kinship to contact my child’s school and any other community professionals who may be involved with our family for the purpose of determining my child’s eligibility and appropriateness for the Kinship program. This information may also be used to help in selecting an appropriate mentor volunteer for my child.

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Check the words that you think describe you best
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Please check the activities you enjoy or would like to try
9 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.