Mentor Release Statement
I, the undersigned, hereby state that if accepted as a mentor, I agree to abide by the rules and regulations of the Confident Girl Mentoring Program, Inc. I understand that the program involves spending a minimum of one hour/week at the assigned location. Further, I understand that I will attend a training session, keep in regular contact with my mentee, and communicate with staff regularly during this period. I am willing to commit to one year in the program and then will be asked to renew for another year.
I have not been convicted, within the past 10 years, of any felony or misdemeanor classified as an offense against a person or family, or public indecency, or a violation involving a state or federally controlled substance. I am not under current indictment.
Further, I hereby fully release, discharge, and hold harmless the Confident Girl Mentoring Program, Inc. participating organizations, and all of the foregoing employees, officers, directors, and coordinators from any and all liability, claims, causes of action, costs and expenses that may be or may at any time hereafter become attributable to my participation in the Confident Girl Mentoring Program, Inc.
I understand that the Confident Girl Mentoring Program, Inc. staff reserves the right to terminate a men-tor from the program. The program takes place within the confines of the program's policies and does not encourage or approve of relationships established between mentor/mentee and family members beyond the organized and supervised activities of the program. I give permission for program staff to conduct a criminal background check as part of the screening for entrance into the program. This includes verification of personal and employment references as well as a criminal check with the local authorities. Program staff has final right of acceptance of applicant into the program and reserves the right to terminate a mentor from the program at any time. I have read the above Release Statement and agree to the contents. I certify that all statements in this application are true and accurate.