Redemptive Poverty Work - Mentor's Guide

A P P E N D I X / 4 7

Personal Information

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First Name:

Last Name:

Email Address:

Are you currently incarcerated (please circle one)? Yes / No

Sex/Gender (please circle one): Male / Female

Ethnicity (please select one of the following):

a. Asian/Pacific Islander

b. Bi-racial, Multi-racial

c. Black

d. Latino

e. Native American

f. White

Birth Year (e.g., 1976): _______

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