The
African American
Male Leadership Academy

Inspiring African American Males to fulfill roles that produce leaders in families and communities.

Welcome to the
African American Male Leadership Academy

AFRICAN AMERICAN MALE MENTEE APPLICATION
​AGES 7-UP
Mentee Name (AAMLA MENTEE APP)
Current address
City/State/Zip Code
Date of birth
Parent Phone Number
Emergency Contact & Number
Parent/Guardian Name
Parent/Guardian Most Used Email Address
Name of School
Submit
Submit
Submit
Submit
AFRICAN AMERICAN MALE MENTOR APPLICATION
Mentor Name (AAMLA MENTOR APP)
Current Address
City/State/Zip Code
Date of Birth
Number To Contact
Share why you are interested in being a Mentor for AAMLA
Submit
Submit
Submit
Submit
AFRICAN AMERICAN MALE JR MENTOR APPLICATION
AGES 16-21
Jr. Mentor Name (AAMLA JR. MENTOR APP)
Current Address
City/State/Zip Code
Date of Birth
Number To Contact
Name of High School
What are your future plans when you graduate from high school?
Submit
Submit
Submit
Submit
CONTACT US
AFRICAN AMERICAN MALE LEADERSHIP ACADEMY
PO BOX 13498
GREENSBORO, NC 27415