Tandem's Mentor Volunteer Application
Tandem Mentorship Program appreciates your interest in becoming a mentor! After we receive your application we will contact your 3 personal references that you provide below and send you a link to fill out a background check form. After your application is approved we will set up an in-home interview with you.

Thank you again for helping to further His Kingdom through mentoring a youth facing adversity.

Show me the path where I should walk, O Lord, point out the right road for me to follow." Psalm 25:4

Name (First, M, Last) *
Home Address *
Phone Number (Home and Mobile) *
Email
Preferred Method of Communication *
Date of Birth *
MM
/
DD
/
YYYY
Martial Status *
Spouse's Name
Gender *
Ethnicity *
Disability *
Type of Disability
Availability *
Required
Do you own your own car? *
If you plan to transport your mentee please upload a picture of your Driver's License. If you're unable to upload, you can e-mail a photo to hello@tandemmentorship.com
If you plan to transport your mentee please upload a picture of your auto insurance card. If you're unable to upload, you can e-mail a photo to hello@tandemmentorship.com
Are you willing to be matched with a mentee from a home of...
Education Level *
Why do you want to become a mentor for a youth facing adversity? *
Please list the names, e-mails, and phone numbers of 3 people you would like to use as personal character references (only people you have known for at least a year). Include at least one person who can comment on your current walk with Jesus. *
Please write down your interests and a few activities you would like to do with a mentee *
How did you hear about Tandem? *
Required
Check any other volunteer opportunities you'd be interested in.
Please list all other cities, states, and dates of residency during the past 10 years. *
Please list the names and ages of your household members. *
Please provide employment information for the past 5 years. Include company name, position held and length/duration of employment. *
How would you describe your relationship with Christ? How would you share your faith-walk with your mentee? *
Do you have any previous experience volunteering or working with youth facing adversity? If so, please specify. *
Have you ever been arrested or convicted of a crime? If so, what were the circumstances? *
Have you ever been convicted of a DUI, driving while under the influence of alcohol? If yes, when and what were the circumstances? *
Have you ever been treated or hospitalized for a mental health disorder? If yes, please explain. *
Have you ever been treated for alcohol or substance abuse? If yes, please explain. *
Have you ever been investigated or convicted of child abuse, neglect, sexual abuse or molestation of a youth 18 or younger? If yes, please explain. *
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