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ASU Mid-South | West Memphis, Arkansas

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Brother-2-Brother Application Form


  • PERSONAL INFORMATION

  • EDUCATIONAL INFORMATION

  • Certificates and/or Training that would be pertinent to your membership
  • If you are fluent in any languages besides English please list:
  • Have you ever been involved in a Male Mentoring / Leadership program? If so explain:
  • OTHER

  • Brother-2-Brother seeks eligible minority male students committed to success through the initiative. In doing so, participants are expected to make a concerted effort to attend designated functions geared at student success. Commitment requires some evening hours and off-campus field trips. Some requirements may include MANDATORY tutoring or mentoring. Please indicate hours AVAILABLE:
  • By signing below I verify the above information is true. I understand that any false information is grounds for denying or termination from B2B. I understand participation in the B2B program will not affect my academic performance with college faculty and does not provide preferential classroom sanding.
  • MM slash DD slash YYYY

B2B President, Demetrius Gregory at the 2017 BBCB Conference in Tampa, FL

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ASU Mid-South

2000 West Broadway

West Memphis, AR 72301

Main – 870.733.6722
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Toll Free – 866.733.6722

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