IMAGO DEI MINISTRIES

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Home
Heal The Land 2021
IDM Family
Mentoring Programs
Panthers Basketball
Online Store

PEN Pals Male Mentoring Program
Intake Survey

1. Name*

2. Please describe your personality by checking all that applies:*

OutgoingTalkativeMellow/ChillPersonableAggressiveFunnyHonestRespectful

3. Please check all activities in which you would be interested in: *

BowlingFishingCookingVisiting MuseumsGoing to the MoviesPlaying Video GamesReading BooksAttending Sporting EventsAttending Church ServicesGoing to the Zoo

4. Describe what you do in your free time:*

5. If you could learn something new that you've never experienced what would it be? *

6. If you could learn about a new job, career, or trade what would it be?*

7. What are some of your goals for the next five years? *

8. What is your favorite subject(s) in school?*

9. What are your thoughts about the COVID-19 pandemic and how has it altered your life?*

10. What are you expecting to learn or gain from being in the P.E.N. Pals Male Mentoring Program? *

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Your message was sent successfully. Our team of coaches are excited about meeting you, learning about you, and looking forward to working with you!

Office: 11705 S. Elizabeth, Chicago, IL 60643

(Seeds Center Building)

Mailing: P.O. Box 439328 - Chicago, IL 60643

Phone: 800-362-7925

Fax: 877-459-7066

Email: [email protected]

PEN Pals Male Mentoring Program Intake Survey

PEN Pals Male Mentoring Program
Intake Survey