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Mercy Mission Mentor Application
Before Becoming a volunteer on the Mercy Mission mentor program all individuals must:

*Complete a reference check and criminal background check.
*Complete training on the MMM code of conduct and child protection policies.
*Complete the mandatory MMM mentor training course.
*Commit to fulfilling the mission, vision and values of Mercy Mission.
*Commit to meeting with their mentee for a minimum of 2 hours per month for a period of one year.
*Acknowledge that they may not be selected as a mentor, or that the matching process cant take considerable time.

General Information
Name *
First and last name
Address *
Email *
Phone number *
Availability (check all that apply) *
Required
Mother tongue *
Required
Spoken Language(s) *
Required
Emergency contact
Name *
Relation *
Contact number *
About You
Are You currently employed? if yes please specify below. *
Employer
Position
Are you currently volunteering elsewhere? IF YES please specify below *
Organisation
Volunteer role
Are you currently a student? IF YES, please specify below *
Academic institution
Field of study
More About You
Add video of yourself or type your response.
If you would like to answer these questions via video please add file below.
Please provide details of any past work and/or volunteering experience which is relevant to a mentoring role: (min 150 words) *
Please describe why you would like to become a volunteer mentor, and what you hope to gain from the experience: (min 150 words) *
In order to best inform the matching process, please describe your interests, hobbies, skills, as well as any other relevant experience you would like us to take into consideration. (min 150 words) *
Transportation
Are you able to commute to another area in order to attend your regular meeting with your mentee?
Is there a maximal limit in distance you are willing to commute in order to attend you regular meeting with your mentee? *
If yes specify
Reference Request
Please give details of two references
Name of reference 1 *
Relation to candidate *
Email address
Contact Number *
Name of reference 2 *
Relation to candidate *
Email address
Contact Number *
Consent
Please check the boxes that follow to indicate your consent according to the given statement:
I authorise Mercy Mission to contact the two individuals listed above to complete reference check *
Required
If i am chosen as a mentor, I give permission to be photographed and/or filmed during my participation in the program *
I also authorise Mercy Mission to include the above stated photographs and/or films in promotional materials for Mercy Mission *
Agreement and signature
By electronically signing YOU declare that the information provided on this form is correct and complete. False or misleading information is sufficient grounds for cancelling any agreements made.
Signature *
Date *
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