Oklahoma Mentoring Programs Registration Form Image

Oklahoma Mentoring Programs Registration Form

Sponsored by the Oklahoma Foundation for Excellence

The Oklahoma Foundation for Excellence is compiling a statewide directory of mentoring programs to be listed on its Web site at www.ofe.org/mentoring. The directory is a component of the David and Molly Boren Mentoring Initiative, which promotes the growth and development of school-based mentoring programs in Oklahoma. By registering your program, you will help us identify and promote existing mentoring programs as a service to schools, communities and families across the state.


Contact Information

Name: Jennifer Geren
Address: 120 N. Robinson,Ste.1420-W Okla. City, OK 73102
Voice: 405-236-0006
Fax: 405-236-8590
Email: jgeren@ofe.org
 
   

1.  
Date     

 
   

2.  
Name and title of person registering program:
 
   
 

 
   

3.  
Name of mentoring/tutoring program:
 
   
 

 
   

4.  
Name and title of primary contact person for program:
 
   
 

 
   

5.  
Program mailing address:
 
   
 

 
   

6.  
Program phone number:
 
   
 

 
   

7.  
Program E-mail address:
 
   
 

 
   

8.  
Please provide a brief description of your mentoring/tutoring program:
 
   
 

 
   

9.  
Type of community served:     

 
   

10.  
List cities and or counties served by your mentoring/tutoring program:
 
   
 

 
   

11.  
Number of students served by program:     

 
   

12.  
Number of mentors/tutors participating in program:     

 
   

13.  
Grade levels of mentees:
 
   
    K-5th grade
   
    6th-8th grade
   
    9th-12 grade
   
    K-12th grade
   
   
Other, Please Specify:  

 
   

14.  
If your program has a Web site, please list web address:
 
   
 

 
   

15.  
We welcome your comments and thank you for registering your program:
 
   
 





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