Thank you for applying to be a Mentorship-Provider (Provider) to participants of Mental Health Liberation Therapy's Liberatory Student Support Circle (Student). We are grateful for your generous services.
If reading or answering textual forms is difficult for you, please email us for support: care@mentalhealthliberation.org.
About Program: Nurturing BI&POC (Black, Indigenous, and People of Color) students studying mental health, social work, and psychology, we’re uplifting the next generation of mental health advocates and activists.
Mentorship-Providers are Independent Contractors and will receive a 1099-NEC form at year-end for tax purposes if invoices paid total to $600+ that year. Service-Providers are not employees of Mental Health Liberation.
The current compensation rate is: $125 per mentorship office hour
This Agreement and Terms of Service will outline the program and answer some questions that you may have. Please read it carefully and let us know if you have any additional questions. We appreciate you for being here!
Items to have ready before starting the form:
- a completed W-9 form (Download: https://www.irs.gov/pub/irs-pdf/fw9.pdf)
Privacy: This form is HIPAA Compliant.