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Boone County Mentoring Partnership Mentor Application

Welcome

Mentor Information *This question is required.
This question requires a valid date format of MM/DD/YYYY.
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Employment Information
May we contact you at work?
Best time to contact you:
Do you have a valid driver’s license?
1. Please attach a picture of the front of your valid driver's license. 
This question requires a valid date format of MM/DD/YYYY.
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Do you have valid car insurance?
2. Please upload a picture of your valid car insurance card.
This question requires a valid date format of MM/DD/YYYY.
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Marital Status:
Do you attend church? 

Education Background

High School
College
Graduate School
Post Graduate

Do you have any special training that would be helpful for us to know in regard to matching you with a youth mentee? (i.e. special needs training)

Have you been involved with other mentoring programs?
Will you give consent to the use of any photographs of yourself for promotional purposes? *This question is required.
Please sign your initials next to give consent
Clear
Signature of

Do you believe you are able to make at least a one-year commitment for the mentoring program?

*This question is required.
Do you believe you are able to meet the minimum 4 hours a month meeting with your matched youth?  *This question is required.
How did you hear about the BCMP and the mentoring program?
Have you every been convicted of a crime or are you currently released on bail, or on your own recognizance for any crime? *This question is required.

Please provide us with two personal references who are not relation:

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