DMSF Mentor Application

DMSF Mentor Questionnaire
What are your hobbies/interests? Please list specfic examples below.
Sports
Please include types, teams, etc.
Music
Please include genres, artists, etc.
Movies
Please include titles, genres, actors, etc.
Other Interests
Please be specific as possible.
How long are you willing to commit to your Scholar?*

4 Years2-3 Years1 Year
What are some of your favorite things to do?
Why do you want to become a DMSF Mentor?*
How did you hear about the DMSF Mentor Program?
What are your expectations of the Mentor Program?*

References

Please list the names of two references with whom DMSF can contact for more information. One of the following references must be a supervisor from your current place of employment.
Reference #1 Name*

First NameLast Name
Reference #1 Phone *

Area CodePhone Number
Reference #1 Email*
example@example.com
Reference #1 Relationship*
Reference #2 Name*

First NameLast Name
Reference #2 Phone *

Area CodePhone Number
Reference #2 Email*
example@example.com
Reference #2 Relationship*
DMSF Background Check

Please review the supporting documents below. You will need to print, sign, and electronically submit the DMSF Pre-Notification of Inquiry Form.
Background Check Notification of Inquiry Form

Mentor Expectations Sheet
Do you give DMSF permission to run a background check?*

YesNo
Have you ever been convicted of a crime or is there a criminal charge pending against you?*

YesNo
Have you been released from prison in the last seven years?*

YesNo
Have you been found to have sexually abused, exploited, or physically abused any children? If yes, state the date, place and nature of the charge in a separate e-mail to trenton@dmsf.org*

YesNo
Please print, sign, and upload Background Check Notification of Inquiry Form here:

Browse Files

Cancelof
Mentor Application Submission Agreement*

I have answered the following questions accurately and honestly. I have read the Mentor Expectations Sheet and understand that by becoming a DMSF Mentor, I have an important commitment. I am willing to take this responsibility and understand my obligation to my Scholar.
Should be Empty:

Mentor Program Application

Work Information

Education Information

DMSF Mentor Questionnaire

References

DMSF Background Check