Mentorship Application Name Email Address Contact Number Mailing Address How Did You Hear About Amped Kids? Do you play any instruments, sing or compose music? If so, please elaborate below: Have you ever worked with children ? If yes, please describe what role you were in. Briefly explain what music means to you and how it has impacted your life. Personal Reference Name, Number & Email Personal Reference Name, Number & Email 11 + 3 = Submit
