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Mentorship Leader Application

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Personal Information

Background & Experience

Availability - Please let us know when you are generally available to volunteer. Our group sessions
typically last 1-2 hours. How many hours per week/month are you able to commit?  

Please tell us which days you are available for the full day, mornings, afternoons or evenings.
F for full day,. M for Mornings,. A for Afternoons and/or E for evenings. 

Please provide two references who are not related to you. These can be professional,
academic, or from other volunteer organizations.

Background Check Authorization

To ensure the safety and well-being of the youth in our program, all prospective volunteers are
required to undergo a criminal background check. Information obtained will be kept confidential
and will be used only for the purpose of this application. By filling out this form you agree to a background check type your name below if you agree.

Agreement & Signature

I certify that the information provided in this application is true and complete to the best of my
knowledge. I understand that false or misleading information may result in my disqualification
from the volunteer program.

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thank you!