ASA NOW MENTOR APPLICATION

ASA Now Mentor Application
LIFE STARTS NOW - YOUTH MENTORSHIP PROGRAM

Jacob’s Mission Community Center is looking for mentors for youth experiencing foster care. ASA Now is committed to helping current and former foster youth live successfully. These young adults are fighting to beat the odds.
Mentoring is an opportunity for you to develop a long-term, one-on-one relationship with a youth who is in need of a role model, friend and caring adult. Mentors will be paired with youth ages 14-18 interested in getting a driver’s license, college or post-secondary education plan, getting a job, rent a room or apartment, buy a car, build and maintain a personal budget, paying or planning for taxes when employed, family planning (I want to be a mom or dad), plan a trip, vacation or experience, health and fitness, mental health and well-being, any personal achievement. Thank you for helping serve this population in a meaningful and impactful way. Minimum age for a mentor is 19. Mentors are expected to spend approximately one to three hours per month with their assigned youth for at least nine months. Note: You may mentor them in-person or virtually. We encourage mentors to attend our monthly life skills workshop when possible.
We ask that all participating adults (age 18 and older) have a background check. We can assist you in obtaining a background check. Your cost is $12 and it is valid for two years. Please follow directions below to obtain a background check. If you already have a background check please see the link below to attach a copy of your background clearance. If you volunteered at a past events and we have already received your background clearance, you do not need to get clearance again. We have it on record that you have been verified. ***If you need to have your background checked, please log on to https://opportunities.averity.com/ASANow.Please note that you will need to provide your full name, social security, date of birth and email. You'll need a credit card to pay on-line. You may skip all other questions such as previous address by simply typing a few letters. You will receive a follow up email from Averity with your background information.
Name *

First Name Last Name
Day of Birth *

Month Day Year
E-mail *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Background Screening(this information will be kept confidential and secure)
Will you agree to have your background through federal and state agencies for criminal records and child abuse and neglect proceedings? *

Yes No
Do you have a valid Driver’s License? *

Yes No
Please upload a copy of your State Driver License or Identification card *

Browse Files

Cancel of
Have you ever been convicted of a crime? *

Yes No
If Yes, please explain *

ASA Now Mentor Application

LIFE STARTS NOW - YOUTH MENTORSHIP PROGRAM