High School Mentor Application

If you prefer you may download and fill-in the    Printable Application Form

Please provide the following information, to submit the form online.


High School Mentor Application


HOW DID YOU HEAR ABOUT CHILDREN'S MENTORING CONNECTION?

Please Check All That Apply:


CMC Program Interest:

Please Check Those of Interest:


REFERENCES:

We would like you to provide two references that would recommend you for our school-based mentoring program. Please choose references you know well. Please make one reference your parent and the other reference school personnel, such as a teacher, coach, guidance counselor, etc.
We will be making phone contact with your references, so please provide us, if possible, with a daytime and evening phone number.


Children’s Mentoring Connection of Hancock County reserves the right to deny a volunteer application when, in its sole discretion, it believes it is in the best interest of CMC to do so and is not obligated to match you with a child.

PARENT PERMISSION

(Please Check the following Boxes to grant Parent Permission)

I hereby give the child named on this application permission to participate in the school-based mentoring program if accepted by the agency for inclusion.
I hereby authorize Children’s Mentoring Connection of Hancock County to make such investigation as they deem proper and necessary regarding my background and to determine the accuracy of the information I have furnished in this qualification record. Furthermore, I hereby release any Agency or organization from liability for cooperating with CMC of Hancock County by releasing the requested information.

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