General 1 — Carlton Locksley Bennett Foundation Inc.

CLBF welcomes the participation of both youth and adult community members in programs such as the PACT Mentorship Program, as either a mentee or mentor, the Take Back Our Children Fellowship, and through other community support and fundraising events. To become a mentee please fill out the form below.

Carlton Locksley Bennett Foundation, Inc. Partnership Affecting Change in Teens (PACT)

Mentee (Youth) Application Form

Name

First Name

Last Name

Date of Birth

YYYY

Address

School

Grade

Phone Number

(###)

###

####

What's the best way to communicate with you?

Phone Call

Text Message

I would like to have a

Big brother

Big sister

Married couple

Why would you like to have a Big Brother/Sister/Married Couple mentor?

Describe a few qualities of your ideal mentor:

What kinds of activities would you like to do with your mentor?

What would you like your mentor to know about you?

Feel free to list your hobbies, some of your goals, or other things in your life that are most important to you.

Do you want to tell us anything additional about yourself that would be helpful to match you with a mentor?

Mentee Application

Carlton Locksley Bennett Foundation, Inc. Partnership Affecting Change in Teens (PACT)