Bee Mentor Application 2025

Full Legal Name*

First NameMiddle Initial Last 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 mentoring year*

MentorTutor

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: *

Area CodePhone Number

Is it okay for us to communicate with you via text message?*

YesNo

T-Shirt Size

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

YesNo

Please describe your previous background and/or why you wish to be a Mentor. *

What is your highest level of education completed? (Please indicate if you graduated high school, and include any college, trade, or professional training that you feel would benefit you as a mentor.)*

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

We want to let you know that our organization is faith-based and incorporates Christian values and Biblical teachings into our mentoring sessions. Does this align with your personal beliefs?*

NoYes

I would prefer my Mentee ages to be:*

13-1516-18Any Age

Our goal is to pair each mentor with just one mentee. However, in some cases, a mentor may be asked to take on two. Would you be open to mentoring two if needed?*

YesNoMaybe

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, along with my successors, assignees, heirs, guardians, and legal representatives, will not assert any claims or pursue legal action against Bee the Difference, its affiliated organizations, officers, directors, employees, agents, or volunteers (“Released Parties”) for any injury, death, damage, or loss arising from or in connection with my participation in Bee the Difference activities—except in cases where such injury, death, damage, or loss is the direct result of illegal or grossly negligent acts by Bee the Difference. Furthermore, I agree to hold the Released Parties harmless from any costs or losses, including attorney’s fees and court costs, resulting from or related to 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*

MENTOR APPLICATION

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

Criminal Background

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