ONE TO ONE MENTORING PROGRAM
2016 MENTOR APPLICATION
Thank you for your interest in becoming a Mentor through One to One Mentoring.
The information on your application will help us to match you with a youth and will be kept confidential.
Complete & Submit Application
Print, sign and return AGREEMENT and AUTHORIZATION forms found on website.
Provide proof of Auto Insurance (Photo or Copy)
Complete Interview with Program Manager
Pick up Fingerprint Card at our office. Request once application is submitted.
Get fingerprinted with law enforcement (Agencies are listed at end of this application)
Return Fingerprint Card to our office
Attend Mentor Training
MAIL: PO Box 1574, Telluride CO 81435
DROP OFF: 100 West Colorado, Suite 223 (above Pips)
Page 1 of 7
Never submit passwords through Google Forms.
This form was created inside of One To One San Miguel Mentoring.
Terms of Service