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Seeds of Hope Mentor Application

Thank you so much for your interest in becoming a mentor for the Seeds of Hope Felician Youth Leadership Conference. Please answer all of the following questions as completely as possible.


Applicant Information

First Name
Last Name
Country
Address Line 1
City
State
Postal Code

Education and Employment History

No file selected

References

Please provide the contact information for three references: one professional, one from a parish/church leader and one personal (may not related to the applicant).

First Name
Last Name
Professional Reference Current Job Title
Professional Reference Relationship to Applicant
Professional Reference Phone
First Name
Last Name
Parish/Church Leader Reference Job Title
Parish/Church Leader Reference Relationship to Applicant
Parish/Church Leader Reference Phone
May NOT be a family member
First Name
Last Name
Personal Reference Job Title
Personal Reference Relationship to Applicant
Personal Reference Phone

Experience/Skills

Please describe any previous experience volunteering or working with youth?
What qualities, skills, or other attributes do you feel you have that would make you a good mentor?
Do you espouse the Felician values of Compassion, Transformation, Solidarity with the Poor, Respect for Human Dignity, and Justice & Peace?
Have you ever been arrested or convicted of a crime?
If you answered YES, please explain:
Do you use any illegal drugs or controlled substances?
If you answered YES, please explain
Do you drink alcoholic beverages?
If Yes, how many times per week on average?
Have you ever received treatment for alcohol or substance abuse?
If you answered YES, please explain:
Are you able to mentally and physically perform the responsibilities of mentoring a minor, with or without accommodations?
If accommodations are required, please explain:
Have you ever been accused, arrested, charged or convicted of child abuse or molestation or any other crime involving a minor?
If you answered YES, please explain:

Commitment

Can you commit to participate in the Seeds of Hope Mentor Program for a minimum of one year from the time you are matched?
Are you available to meet with a mentee for at least one hour per month?
Are you willing to communicate regularly and openly with program staff, provide monthly information regarding your mentoring activities, and receive feedback regarding any difficulties during your participation in the mentoring program?

Acknowledgements

I agree to follow all mentoring program guidelines and understand that any violation will result in suspension and/or termination of the mentoring relationship.
I understand that Seeds of Hope Mentor Program is not obligated to provide a reason for their decision in accepting or rejecting me as a mentor.
I understand I must return all of the following completed items along with this application and that any incomplete information will result in the delay of my application being processed: Copy of a valid driver’s license or official state ID, Information Release Form, Mentor Interest Form, Criminal background check and child abuse background check, including state clearances and Certificate of completion for safe environment training.
I understand and agree that the relationship between me and Seeds of Hope and Felician Sisters is as a volunteer and does not create any type of employment or independent contractor relationship. I understand I will not be compensated for acting as a mentor in the program and that my participation is for volunteer purposes only.
I hereby certify that, to the best of my knowledge, all of the information I have provided is accurate and complete.