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Professional Mentoring Youth and Young Adult Application

Please read carefully. Your application is a contract to participate in and strictly abide by the rules of the program. If you under 18, you will need consent of your parent or guardian to participate.

  • Please provide Facebook, Instagram, Twitter, etc
  • Please identify which LRBC ministries you are part of
  • Current or most recent education, including grade/year and name of institution
  • Current or last position/title held
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY

  • Enter Full Name
  • Final Step

  • Disclaimer

    This survey does not make any claims of statistical reliability and has not been normed. It is intended for use as a guidance tool to generate discussion regarding careers and is valid for that purpose. Note: Please ensure that you or your legal guardian (if you are under age 18) sign the CONSENT AND RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT FORM, which must be picked up from the church office (Lenox Road Baptist Church – 1356 Nostrand Ave., Brooklyn NY).

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