Compassionate Touch Mentorship Application Form For
Washington-Parks Academy,
a Cornerstone School

Being a dedicated mentor is empowering to students at the school.
Please fill out this form if you can commit to mentoring on all 5 dates at Washington-Parks Academy.

The Program starts at 8:30 am and ends no later than 11:00 am each morning. It's a 2.5 hour commitment and we ask that you please show up on time as we start immediately at 8:30. This is only a 12.5 hour commitment over 10 months.

11685 Appleton St. Redford, Michigan 48239

Tuesday 9/25/18
Tuesday 11/13/18
Tuesday 1/15/19
Tuesday 3/19/19
Tuesday 6/4/19

Completed calendar invitations can be downloaded at the end of this application form for your convenience.
* indicates required
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Please do not fill out this form if you're unable to attend each event or find a replacement for the dates you cannot attend. If you're unable to attend please make us aware early enough and give us the name of your replacement with the date(s).
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