TCYP L.I.F.E. Mentoring Program - Volunteer Mentor Registration Form
The mentoring series consists of nine (9) months, September through May, sessions. The mentoring series, TCYP L.I.F.E. (Lessons In Future Endeavors) Mentoring Program, will include of a variation of hands-on activities and skill building opportunities that are essential to professional growth from an individuals’ high school years through to their career, including time management, career paths, job interviewing, and public speaking. The series will conclude with a networking/etiquette dinner where students will be able to put their newly learned and improved skills to the test.

Mentors must be affiliated with the Traverse City Young Professionals and must register to volunteer as a mentor. Mentors will serve as advisers to students, and will help lead the break out, experiential activities during the series sessions. They will be required to complete a volunteer background check, as well as sign the Junior Achievement Volunteer Standards of Conduct form. Mentor registration is continuous and ongoing.

Please complete the following Volunteer Registration Form below. A volunteer State of Michigan ICHAT background check will be conducted following the submission of this form. You will be contacted via email with any questions, as well as any follow up information regarding mentoring.

First Name
Your answer
Middle Name
Your answer
Last Name
Your answer
Mailing Address (Street, City, State, Zip)
Your answer
Preferred Email Address
Your answer
Preferred Phone Number (with area code)
Your answer
Gender
Date of Birth:
MM
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DD
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YYYY
Current Age:
Your answer
Race
Place of Current Employment
Your answer
Work Phone Number (with area code):
Your answer
I give formal consent to receive electronic communication from a TCYP L.I.F.E. Mentoring Program, a committee of the Traverse City Young Professionals. TCYP will not sell or share your information with third parties.
Have you ever been convicted of, pled guilty or nolo contendere (neither admitting nor denying the charge) to, or received a suspended imposition of a sentence, been placed on probation, or otherwise been found guilty of any criminal or municipal ordinance violation?
Have you ever been convicted of, pled guilty or nolo contendere (neither admitting nor denying the charge) to, or received a suspending imposition of sentence, been placed on probation, or otherwise been found guilty of DUI/DWI?
Have there ever been allegations, complaints, or reports regarding your involvement in child abuse or neglect (regardless of whether the incident was confirmed or denied)?
You have my permission to contact my employer. I understand that any omissions or misstatements made by me on this application form may be cause for my application to be declined or volunteer placement to be terminated. I understand that a Michigan State Police criminal background check (ICHAT) will be conducted and all information including conviction or child abuse records will be verified, and hereby consent to such verification. I declare that all the statements I have made on this application are true, correct, and complete to the best of my knowledge. I understand TCYPs, in their sole and complete discretion, may accept or decline this application without providing me any reasons for the decision.
Required
Electronic Signature (please sign your full name):
Your answer
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