2017-2018 Mentor Application

 

“Show me a successful individual and I’ll show you someone who had real positive influences in his or her life. I don’t care what you do for a living—if you do it well I’m sure there was someone cheering you on or showing the way. A mentor.” Denzel Washington

Name *
Name
Phone *
Phone
Address *
Address
Background check will be performed by an independent third-party entity.
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PARTICIPATION AGREEMENT
I have read and agree to the expectations listed for the Follow in my Footprints mentoring program. I authorize Diamond Footprints, Inc to contact my references and process a background check. I agree to report any past convictions to Diamond Footprints, Inc at the time of application. Further, I agree to report to Diamond Footprints, Inc any future charge or conviction at the time it occurs. I will inform Diamond footprints, Inc of any convictions or charges that relate to minors or vulnerable adults. By submitting this form, you agree to these terms. *