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Cart
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Black Love Pizza Party
Shop
T-Shirts
Hoodies
Black Love Is Dope
Crew Neck Sweat Shirt
Camp Black Love
Books, Posters & Prints
Accessories
About
Podcast
Coaching Session
Blog
Contact
Name
*
First Name
Last Name
Email
*
Phone
This is just another way to keep in contact with you it's not required but it does help. I will keep your number private.
Country
(###)
###
####
Address
*
City or Town & State
Age
*
20-24
25-35
36-45
46-55
56-65
65 & Over
Nationality
Black
Hispanic
White
Asian
Native American
Middle Eastern
African
Caribbean
Other
Education
*
High School
Bachelor's Degree
Master's Degree
PHD
Trade
Are You Employed?
*
Yes
No
What's your occupation?
*
I've mentored young men before
*
Yes
No
I have
Sons
Younger Brothers
Nephews
Young Men Students
Young Men Athletes
I'm willing to share my gifts and skill sets in
*
Finances
A Trade
Math
Sciences
English Language Arts/ Reading
History
Art
Technology
Soft Skills/ Etiquette
Public Speaking
Social Emotional Learning
Real Estate
SAT Prep
If Other
I have an opportunity for internships or apprenticeships
*
Yes
No
What company or program are the internships or apprenticeships with?
Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time of Day
*
7:30am-8:30am
8:30-10am
10am-12pm
12pm-2pm
2pm-4pm
4pm-6pm
6pm-8pm
How much time are you willing to invest?
*
Once a Week
Twice a Month
Once a Month
Once a Quarter
Twice A Quarter
Ages I'm willing to work with?
*
6-8 yrs
8-11 yrs
12-18 yrs
Thank you!