In submitting this application to be a volunteer/mentor, I understand that Cultivating Leaders routinely request criminal and driving record checks of all volunteers for the position of mentor for which I am applying. All mentors must undergo a Federal Background Check. Prospective mentors are responsible for procuring the Federal Background Check and submitting the results to Cultivating Leaders. You may forward the copy for review and acceptance to:
Dr. Joe Rush
Cultivating Leader Inc.
135 Loblolly Court
Elloree, SC 29047
All records are kept confidential. If I fail to sign, it may be grounds for rejecting you as a mentor.
I certify to the best of my ability that the information provided in this application is true and accurate. I also understand that misinformation knowingly provided here and on subsequent mentor application form, is ground for dismissal.