Thank you for your interest in nominating someone or nominating yourself for Hello Neighbor's mentorship program. Nominations are open November 6th - December 31st, 2017. Once submitted, we will review and be in touch. 

If you have any questions or need assistance in completing this nomination form, please send us an email info@helloneighbor.io or call 412.426.5025 and leave a message.
Nominations are open for refugees who have been in the United States between 6 months and 7 years.

Please advise, program dates are March - June, 2018.


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What is your name? *

 
What is your phone number?

 
What is your email address?

 
What is your relationship to the refugee family? *


 
What is their refugee resettlement agency?


 
What are the names of the refugee family members? Please also list their gender and age. *

 
What is the best phone number to reach the family?

 
Do they have an email address? If so, what is it?

 
What is their home address?

 
What is their country of origin? *

 
Any additional questions or comments?

Thank you for your nomination! We will be touch soon about next steps.
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