BEST Kids Mentor Application

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Thank you for taking the time to fill out our application. If you have any questions, comments, and/or concerns regarding the online application please call BEST Kids' Recruitment and Development Associate, Danny Silbert at 202-397-3272 (Ext 102). Thank you and we look forward to reviewing your application!
Basic Information *This question is required.
Have you resided in any other state in the last 5 years?
Have you ever been known by a different name? 
Eligibility Information

Please answer Yes or No to the following questions: *This question is required.
Please answer Yes or No to the following questions: *This question is required.YesNo
Are you at least 21 years old?
Can you commit to participate in the BEST Kids Mentoring Program for a minimum of one year from the time you are matched with a youth?
Are you available to meet with a child an average of ten hours per month and have contact at least once per week?
BEST Kids requires that each mentor has access to a reliable car. Do you have consistent access to a reliable car? (Car sharing services such as Car2Go, Zipcar, etc. are permitted)
Are you willing to attend a 2 hour orientation and complete 3-4 hours of online training to become a mentor?
Educational Background

High School Information
College Information
Graduate School Information
1. Emergency Contact  *This question is required.
Please list your last 3 employers:

Current Employer
Duration of Employment
Employer 2
Duration of Employment
Employer 3
Duration of Employment
Please list all current and previous experience working with children, whether in a volunteer or compensated capacity. We also encourage you to note any long-term, informal experiences with children as well.
Do you have any other experience working with children? 
Application Questions
Have you ever been convicted of drinking and driving?  *This question is required.
Have you ever received treatment for alcohol or substance abuse? *This question is required.
Have you at any time during the past five years used illegal drugs or other illegal controlled substances? *This question is required.
Have you ever been treated or hospitalized for a mental disorder? *This question is required.
Have you ever abused a minor or engaged in any conduct that could be regarded as child abuse or neglect, including but not limited to murder, abduction for immoral purposes, sexual assault, failing to secure medical attention for an injured child, pander, crimes against nature involving children taking indecent liberties with children, neglect of children, obscenity offenses, or similar moral impropriety involving children? *This question is required.
Have you ever been convicted of or pleaded guilty to, or are charges pending against you concerning any other crime? *This question is required.
Do you have any reason to believe that a check on you with the National Crime Index Service, Central Criminal Records Index, and national child abuse databases, as well as local law enforcement officials and child protective services would disclose any negative information? *This question is required.
Do you agree to submit your electronic finger print cards to allow your criminal history background check to be released to BEST Kids and CFSA? *This question is required.
Do you have a driver's license? *This question is required.
Do you have any motor vehicle violations (excluding non-moving violations) filed against you during the past ten years?
Clearance Timeline

The following clearances must be completed in order to be matched with a mentee through BEST Kids:

* Signed Requirements and Responsibilities of a BEST Kids' Mentor
 * A copy of your valid driver's license and proof of auto insurance (if applicable)
 * Certified Record of Driving History
 * A notarized Child Protective Registry Form (performed every year) for DC and any locations applicant has lived in past 5 years
 * DC Police Clearance
 * Police Clearance from other jurisdictions where applicant has lived in the past 5 years
 * FBI Crimal History Clearance
 * CFSA/BEST Kids Confidentiality form
 * Medical Clearance
 * TB Clearance
I understand I must return all of the following completed items in a timely manner before becoming approved to mentor through BEST Kids. BEST Kids staff will assist with this process once the application has been completed –  *This question is required.
References - Please list the names, addresses, and phone numbers of three people you would like to use as character and professional references. Provide one professional reference, and one reference who can speak to your suitability to work with youth. Please list only people you have known for at least a year. Any information BEST Kids Mentoring Program gathers from these references will be held as confidential and not released to you. Three references are required.

Reference 1: *This question is required.
Reference 2:
Reference 3: