LYP Volunteer Application Form

LOVING YOUNG PARENTS, INC. VOLUNTEER MENTOR APPLICATION
Thank you for your interest in becoming a mentor with Loving Young Parents, Inc. Please note: Mentors must generally be at least 25 years of age. Exceptions may be approved by the Executive Director based on demonstrated maturity, relevant life experience, and program needs. Please complete the following form in its entirety. Your completed application will be reviewed and you will be contacted for an interview. If you have any questions, please send an email to: reginagail@lovingyoungparents.org. Thank you.
Name

PrefixFirst NameMiddle NameLast Name
Birth Date

MonthDayYear
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your current or most recent job title and employer's name?
Where do you currently work? (If you are unemployed or retired, please list the name of your previous employer.)
How were you referred to us?

Other
Have you ever mentored, coached, or discipled anyone?
If yes, please describe your experience. Please include dates of participation, name of the organization(s), and location(s).
Have you ever worked with pregnant or parenting teens (under age 18) or emerging adults who were pregnant or parenting (ages 18-22)?
If yes, please share your experience below. Please include names of organizations and dates of participation.
Why do you want to be a volunteer mentor to a young parent?
How many hours per week are you able to volunteer?
Are you available to volunteer for 1 -2 hours per week?

Other
Can you commit to being a mentor for 12 - 18 months?

Other
Are you able to meet weekly with your mentee either in person or virtually?

Other
Select three values below that resonate with you the most. (Only select three).
Please share why those three values resonated with you the most.
Loving Young Parents is a faith-based organization, and our mentors are expected to support young parents in a manner consistent with our Christian mission and values. Are you comfortable serving within this framework?
Have you ever been convicted of a crime (other than a minor traffic violation)?
If yes, please explain in the space below.
Have you ever been accused of, investigated for, or convicted of child abuse or neglect?
If you answered yes, please explain in the space below.
Are you willing to complete a criminal background check? (At no cost to you.)
References

Please list three (3) references as indicated below.
Personal Reference
Professional Reference (current/former co-worker or supervisor)
Pastoral Reference (Or ministry leader.)
Is there anything else you would like to share as we consider your application to become a mentor with Loving Young Parents, Inc.? Please share in the space below.
By signing below, I certify that the information provided is true and complete to the best of my knowledge. I understand that this is a volunteer position and I will not be compensated for my time. Prior to volunteering as a mentor, I must first pass a criminal background check, complete mentor training, and comply with all Loving Young Parents, Inc. policies and procedures.
Signature
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LOVING YOUNG PARENTS, INC. VOLUNTEER MENTOR APPLICATION