Volunteer and Mentor Times
Mondays – Thursdays 9 am- 4 pm
Saturdays 10 am – 2 pm
General Information
Date
Full Name
Youth / Adult
Address
Main Phone
Alternate Phone
Emergency Contact
Emergency Contact Name
Emergency Contact Phone
Previous Volunteer Experience
Tell us about your previous volunteer experience
Occupation (Past occupation if retired)
Other information that will help us make a good match (such as education, general interests/hobbies)
Availability and Volunteer Assignment Preferences Please Check All That Are Applicable
Other
License Information
Do You Have a Valid (State) Driver’s License?
License Number
Vehicle License Plate Number
Insurance Company
Do You Have Any Physical Condition that May Limit Your Activities?
If Yes, Describe:
Resume
Upload Your Resume
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.