Bee Mentor Application 2025

Full Legal Name*

First NameMiddle NameLast Name

I am interested in volunteering for Bee the Difference Mentoring Program in one of the following roles (check all that apply) during the next school year*

MentorTutorBoard Member

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Gender*

MaleFemale

Date of Birth*

*Must be 21 years or other

E-mail*

Confirmation Email

Phone Number: Best one to contact you*

Area CodePhone Number

Occupation

Name of Employer

Number of Years at current employer

T-Shirt Size

Do you have previous background or training in working with children?*

YesNo

If yes, in what way?

Please describe why you wish to be a Mentor or join our team.*

High School Name

Date of Graduation

College

College Major

Date of Graduation

Other Education

Reference #1 - Name*

First NameLast Name

Reference #1 - Phone*

Area CodePhone Number

Reference #1 - Email*

Confirmation Email

Reference #2 - Name*

First NameLast Name

Reference #2 - Phone*

Area CodePhone Number

Reference #2 - Email*

Confirmation Email

Reference #3 - Name*

First NameLast Name

Reference #3 - Phone*

Area CodePhone Number

Reference #3 - Email*

Confirmation Email

What church do you presently attend?*

Please note that organization is faith-based, using Christian values and Biblical perspectives in our mentoring sessions. Does this align with your beliefs?*

I would prefer my Girls ages to be (If applying for Board Member please select any age):*

13-1516-18Any Age

1) Have you ever been convicted of or pleaded guilty to any crimes (including crimes of record which have been expunged and pleas of 'no contest'), including municipal, state and federal?*

NoYes

2) Have you ever been placed on probation, received a Suspended Execution, Suspended Sentence or Suspended Imposition of Sentence for any offense involving a minor child (a child under 18), or been placed on ANY local, state, or federal sexual registry?*

NoYes

3) Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor child?*

NoYes

4) Have you ever been subject to any court order involving any sexual, physical or verbal abuse including but not limited to any domestic violence or civil harassment injunction or protective order?*

NoYes

5) Have you ever resigned, been terminated or been asked to resign from a position, whether paid or as a volunteer, due to a complaint(s) of sexual, physical or verbal abuse of minors?*

NoYes

REPRESENTATIONS AND RELEASE

I understand that I will be required to submit to a background check as a condition of acceptance as a volunteer, and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in me being removed as a volunteer or volunteer applicant.

I hereby certify that all of the information provided by me in this Application (or in any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in these documents may (or will) be cause for the denial of acceptance as a volunteer, or immediate removal as a volunteer, regardless of the timing or circumstances of discovery.

In consideration of the receipt and evaluation of this Application by Bee the Difference, I hereby authorize you to contact any references, church, schools attended, former and present employers, and any other person, agency, or organization that may have information about me, and for them to provide to you such information (including opinions) that they may have regarding my character and fitness for working with children; I agree to hold Bee the Difference Leadership, and any other person to whom the release above applies, harmless from any damages, specifically including attorney fees and court costs, created by or relating to my unwarranted attempt to collect damages for providing information described above or any other unwarranted action by me in connection with this Application. I waive any right that I may have to inspect any information provided about me or by any person or organization identified by me in the Application process.

In addition, I hereby release, and agree that I, my successors, assignees, heirs, guardians and legal representatives will not make any claims or take any legal actions against, Bee the Difference or any of its affiliated organizations, or its officers, directors, employees, agents, or volunteers (“Released Parties”), for my injury, death, damage or loss, however caused, arising from or in connection with my participation in Bee the Difference activities, with the exception of my injury, death, damage or loss as the direct result of illegal or grossly negligent acts by Bee the Difference, and I will hold the Released Parties harmless from any costs or loss, including attorney fees and court costs, arising from or in connection with my activities in violation of these provisions.

I understand that submission of an application does not guarantee my acceptance as a volunteer. I further understand that should an offer be exended to me as a volunteer, it is for no specific duration and may be revoked by either Bee the Difference, or me at any time, with or without cause.

I have carefully read the above Application and this Acknowledgement and Release and know and understand its contents; I also know the above is legally binding on me. I sign this Application and Release of my own free will.

Signature*

Date*

We would like to inform you Our organization is faith-based, using Christian values and Biblical teachings in our mentoring sessions. Does this align with your beliefs?*

NoYes

MENTOR APPLICATION

Note

Education

Personal References* (required for first time volunteers only) No relatives.

Personal Profile

Criminal Background

Thank you for your interest in being a part of the Bee the Difference Team! We will contact soon!