RETURN THE FORM BELOW TO:

The Mentor Program Office
California Resources Agency
1416 Ninth Street
Sacramento, CA 95814

For more information, please contact the Resources Agency Mentor Program Coordinator at sherrgesell@hq.dfg.ca.govor call (916)653-7448.

I would be interested in participating in one or more of the following mentor activities:

Traditional 1 Adult to 1 Child Long-Term (more than 6 months) Frequent Contact (about once per week) Unspecified Nature and Location of Activity Unsupervised	Short-Term, Focused Activities 1 Adult to 1 Child (e.g., summer internships, brief tutoring programs) Short-term (between 2-5 months) Frequent Contact Specified Nature and Location of Activities Supervised
Long-Term, Focused Activities 1 Adult to 1 Child (e.g., tutoring, career-oriented programs) Long-Term Frequent Contact Specified Nature and Location of Activities Supervised	Group Mentoring 1 Adult to Group of Children Long-Term Frequent Contact Specified Nature and Location of Activity Supervised
Team Mentoring Team, Couple or Family to 1 Child Long-Term Frequent Contact Unspecified Nature and Location of Activity Unsupervised

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