Community Mentor Application
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CRANSTON ENTOR PROGRAM Community Mentor Application BCI FP TRNG SCHL SO CK Please forward signed application with a photocopy of your driver’s license to: Arlene McNulty Cranston Mentor Program 3296 Post Road Warwick, RI 02886 Name of Applicant: Date of Birth: Home Address: City State ZIP Number of years at this address Previous Address Home Phone: E-mail Address: Business Name Address: Work Phone (ext.): Fax: E-mail Address: Current Position Title: I would like to participate as a traditional school based mentor, spending one hour a week in a school setting, building a one-to-one relationship with a student who needs a positive role model..
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