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PEN Pals Male Mentoring Program 

Intake Survey 

1. Name*

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

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

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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