M2M Mentor Volunteer Application
We are glad that you have decided to consider volunteering for Mentoring to Manhood (M2M). There are boys waiting to hear from you and want to have your guidance and support. Your consistent influence and involvement can change a young man's life, and can change yours. Thank you for taking a few moments to complete our application!
Email address
Name
Your answer
Home Phone
Your answer
General Information
Email Address
Your answer
Cell Phone
Your answer
Date of Birth
MM
/
DD
/
YYYY
How long have you lived at this address?
Work Phone
Your answer
Home Address
Street, City, State, Zip Code
Your answer
How long have you lived in the Washington, DC Metro Area?
What other states that you have resided in?
Your answer
Sex
Religion
Your answer
Sexual Orientation
Your answer
Marital Status
Spouse's Name
Your answer
Age
Your answer
Do you have any children?
If yes, how many?
Your answer
If yes, what are the names of your children?
Your answer
Educational and Professional Background
What is your highest level of education completed?
Are you military/former military?
If yes, please list time served, rank, and branch of military.
List type of discharge if applicable
Your answer
Profession
Title
Your answer
Company
Your answer
Work Address
Your answer
Brief job description
Your answer
Length of current employment?
Your answer
Work Email
Your answer
What are your working hours?
Do you expect any change in your employment status during the next year?
Can you be contacted at work?
Your answer
Criminal History Check
Have you ever been charged with any criminal offense?
If yes, what were you charged with?
If no, please write N/A
Your answer
Have you ever been arrested?
If yes, why were you arrested?
If no, please write N/A
Your answer
Have you had any major traffic offenses?
If yes, what traffic offenses?
If no, please write N/A
Your answer
Please list three personal or professional references.
Name and phone number
Your answer
M2M Interest
How did you learn about M2M?
How do you want to volunteer?
What time commitment can you make?
Skills and Interests
Select all that apply
Required
Volunteer Agreement
CERTIFICATION: I hereby certify that the information contained in this application is true, correct and complete. AUTHORIZATION TO RELEASE INFORMATION: I hereby authorize the references, employers, and educational institutions listed above, and any and all other individuals and entities contacted by M2M for information about me, to release all information. RELEASE FROM LIABILITY: I release all parties and persons from any and all liability for any damages, which may result from furnishing such information to M2M, as well as from the use or disclosure of such information by M2M or any of its agents, co-workers or representatives. The undersigned acknowledges and agrees to the above stated information and that:
Required
Digital Signature
By digitally selecting "Yes" below, you are acknowledging that all the information provided is accurate. If you have questions about the M2M volunteer intake process, please call our office at 240-501-8904 or e-mail us at mentor@m2minc.org.
Please complete the captcha before submitting the form.
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