Mentoring Registration Form

Scholars Info

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Allergies: *

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Three words to describe you: *

Academic Goals: *

What are your hobbies? *

What do you enjoy learning? *

Parent/Guardian info

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Relationship *

Emergency contact info

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Would your family benefit from food distribution / drop off? *

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Rev. Jon Robinson, Pastor
Rev. Stacey Smith, Presiding Elder
The Rt. Rev. John Franklin White, Presiding Bishop

ST. PETER'S
African Methodist Episcopal Church
401 E. 41st Street, Minneapolis, Minnesota 55409
Phone: 612-825-9750
E-mail: stpetersame@msn.com

St. Peter's Office Hours
Monday 10:00 am - 2:00 pm
Tuesday - Thursday 10:00 am - 5:00 pm
Saturday - 10:00 AM - 2:00 PM