II. Employment Information
Please provide employment information for the past FIVE YEARS, with most recent position first. Please put "NA" in the fields if you are not currently employed. Leave the end date blank if you are currently employed.
If you have additional employer information from the past 5 years, you may bring those details with you during your scheduled interview/orientation.
III: Personal References
Please list the names and contact info of three people you would like to use as character references (only people you have known for at least a year). Include one relative. Any information Arizonans For Children (AFC) gathers from these references will be held as confidential and not released to you, the applicant.
This section is for anyone who would like to volunteer with our MENTOR PROGRAM. If you are only applying for the Visitation Center, please put "NA" in the follow fields.
Please rate your comfort level in working with the following age groups
1 = I prefer working with this age group
2 = I feel pretty comfortable working with this age group
3 = I feel uncomfortable with this age group
Please list all members of your household
If you have additional household information, you may bring those details with you during your scheduled interview/orientation.
Signature & Acknowledgements
I understand that, if selected, I will be asked to review all of the program's rules, regulations, and responsibilities for becoming a mentor. I understand that I will be asked to agree to all policies prior to being matched. I understand that AFC is not obligated to provide a reason for their decision in accepting or rejecting me as a mentor.
I understand it will be necessary for AFC to conduct a background check regarding my driving record, criminal history, personal references, and employment. I authorize AFC to obtain any needed information regarding my driving record, legal/criminal history, character references, and employment from any state or federal agency, my employer, and personal references for the purposes of participating in AFC programs. Further, I provide permission for AFC to conduct the same investigation of my background in previous states in which I have resided.
If I am applying for a program involving a one-on-one match, I understand that information about myself may be anonymously (without my name) shared with a prospective foster youth and his/her caregiver(s) to aid in determining a suitable match. Once a match is determined, my identity and any other information known about me may be shared with the youth and parent/guardian to ensure a safe and successful mentor relationship.