Volunteer | I AM MENtality

General Information

Date

Full Name

Youth / Adult

Address

E-mail

Main Phone

Alternate Phone

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

License Information

Do You Have a Valid (State) Driver’s License?

Yes No

License Number

Vehicle License Plate Number

Insurance Company

Do You Have Any Physical Condition that May Limit Your Activities?

Yes No

If Yes, Describe:

Resume

Upload Your Resume

Choose a file

Max. size: 50.0 MB

References

Please list three persons we may call who are NOT family, one of whom may be your religious or spiritual leader, teacher, employer or relationship other than personal friend

Reference 1: Name, Phone, Relationship, Address

Reference 2: Name, Phone, Relationship, Address

Reference 3: Name, Phone, Relationship, Address

Consent for Background Check

All I AM MENtality volunteers must obtain a background check from (CJIS) in order to assure the safety of our youth as well as I volunteers. After your application in process within 5 business days a staff member will contact you in reference to scheduling a background check. I hereby give my consent to contact my references; to contact my employers, past and present; and to conduct a background check.

Today's Date

Signature: By typing my full name, this is equivalent to my signature

Become A Volunteer

Volunteer and Mentor Times