Authorization

Our program appreciates your interest in becoming a mentor. By typing your name below and clicking submit, you attest to the truthfulness of all information submitted in your application. You agree to let our program confirm all information listed and to conduct a federal and state criminal background check.

 

I have read and understood the programs policies. If selected I will follow the policies and guidelines and be a dedicated mentor.

I agree to comply with Richland County Schools ID badge policy and campus visitor policies.

I understand this information will be kept in confidential files which can only be accessed by  the guidance counselor, and mentoring coordinators.

Further, I understand that the information about myself will be shared with a prospective mentee to aid in determining a sutable match. Once a mentor/mentee match is determined, my identity may be shared with the mentee and parent/guardian to ensure and aid in facilitating a safe and successful relationship.

Mentor Signature

  • Enter your name to agree to the terms above.