RESTORATION PROJECT FOUNDATION MENTOR PROGRAM

Participant Application

Thank you for your interest in Restoration Project Foundation's Mentor Program (RPFMP), a cooperative effort between the Restoration Project Foundation, charter schools, and local Mentors. This new mentoring initiative coordinates a one-on-one relationship for young people facing challenges in different areas of their lives and needing support to succeed.

To complete enrollment of your child (“Applicant”), a complete application packet must be received. Please call 864-778-2268 if you need assistance or would prefer a paper application. You must submit these documents before your Applicant can be enrolled with RPFMP. Thank you.

No Applicant shall be denied equal opportunity for admission on the basis of race, sex, color, religion, handicap, or national origin.

Any and all information requested in the application, such as language spoken at home or race/ethnicity is not intended, and will not be used, to discriminate.

**Your Applicant does not have a "seat" in our mentoring program until this application is submitted and approved. **

(*) Indicates required field.

Participant Application

Start a new participant application.

Opt-in to receive emails from the Enrollment team.

Mentor Program

Select the mentor program you wish to enroll in.

Applicant Information

Enter the information for your child who will be participating.

Home Address

Enter the child's current residential address.

Mailing Address

Enter the child's mailing address if different from above.

Child Information

Please provide the following information about your child.

Check all that apply.

Primary language spoken in the home.

Preferred language spoken in the home.

Select the grade completed by June of the previous year.

Select the grade currently enrolled in.

School applicant currently attends

Parent/Legal Guardian

Enter the information for the child's parent or legal guardian.

Emergency Contact

Sign Application

Signature *

Signature of person completing application. Must be the legal guardian of the child.

Parent Agreement

Signature *

By placing my signature in the box, I affirm that I have read and accept the Parent/Guardian Agreement.

Medical Consent & Release

Signature *

By placing my signature in the box, I affirm that I have read and accept the Medical Consent & Release Agreement.

Medical Information

Signature *

Signature of Parent/Guardian attesting to the truth of the above-provided information.

Signature

Signature *

By placing my signature in the box, I affirm that I have read and accept the Consent to Disclosure of Education Records.

Complete Application

Signature *

By placing my signature in the box, I attest to the truthfulness of all information listed on this application and agree to all the above terms and conditions.

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