Male Mentor Application

FRIENDERLY CARE INC.

Mentor Application

Thank you for your interest in serving as a mentor with Frienderly Care Inc.’s leadership and mentoring program for boys ages 8–14.

Our mentors help young men develop confidence, leadership, integrity, responsibility, communication skills, respect, character, and positive life skills.

Please complete the application below. Selected applicants may be contacted for an interview and additional screening.

First name

Last name

Date of Birth

Month

Day

Year

Phone

Address

Current Occupation/Employer:

Occupation/Job Title:

Please list any certifications, licenses, training, coaching experience, teaching experience, or youth-development training you have:

Have you previously worked or volunteered with children or teenagers?

Yes

If yes, please describe your experience:

Have you ever served as a mentor, coach, teacher, youth leader, counselor, ministry leader, or instructor?

Yes

If yes, please describe your experience:

Why are you interested in becoming a mentor?

What do you believe young boys need most from positive male mentors today?

Are you able to commit to a multi-week youth mentoring program?

Yes

Do you have reliable transportation to program locations?

Yes

Because mentors will work with minors, Frienderly Care Inc. may require selected applicants to successfully complete appropriate screening before working directly with youth.

Are you willing to complete a criminal background check?

Yes

Are you willing to follow Frienderly Care Inc.’s youth safety policies, professional boundaries, confidentiality requirements, and code of conduct?

Yes

Have you ever been dismissed, suspended, or asked to resign from a job or volunteer position involving children or vulnerable individuals due to allegations of inappropriate conduct?

Yes

If yes, please explain:

Is there anything that may affect your ability to safely supervise or mentor youth that you believe Frienderly Care should be aware of?

Yes

If yes, please explain:

MENTOR COMMITMENT

As a mentor, I understand that I may be expected to:

Serve as a positive and responsible role model.
Arrive on time and prepared for scheduled sessions.
Treat every child with dignity and respect.
Encourage leadership, confidence, responsibility, integrity, and teamwork.
Maintain appropriate adult/youth boundaries.
Avoid inappropriate physical contact, language, discipline, or communication with participants.
Follow Frienderly Care Inc. policies and instructions.
Report safety concerns involving a participant to appropriate program leadership.
Protect confidential information regarding participants and families.
Maintain professional communication with youth, parents, staff, and other mentors.

APPLICANT CERTIFICATION

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submitting this application does not guarantee selection as a mentor.

I understand that Frienderly Care Inc. may contact my references and may require additional interviews, documentation, training, or screening before I am approved to work with youth.

Applicant Name:

Signature

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Date

Month

Day

Year

Thank You for Applying

Thank you for your interest in helping build the next generation of young men.

Frienderly Care Inc.

www.Frienderlycare.org

info@frienderlycare.org

Provide a copy of your valid government-issued photo ID

Upload your file

Choose a file or drag and drop one here.

FRIENDERLY CARE INC.

Thank you for your interest in serving as a mentor with Frienderly Care Inc.’s leadership and mentoring program for boys ages 8–14.

Our mentors help young men develop confidence, leadership, integrity, responsibility, communication skills, respect, character, and positive life skills.

Please complete the application below. Selected applicants may be contacted for an interview and additional screening.

Date of Birth

Month

Day

Year

Current Occupation/Employer:

Occupation/Job Title:

Please list any certifications, licenses, training, coaching experience, teaching experience, or youth-development training you have:

Have you previously worked or volunteered with children or teenagers?

Yes

If yes, please describe your experience:

Have you ever served as a mentor, coach, teacher, youth leader, counselor, ministry leader, or instructor?

Yes

If yes, please describe your experience:

Why are you interested in becoming a mentor?

What do you believe young boys need most from positive male mentors today?

Are you able to commit to a multi-week youth mentoring program?

Yes

Do you have reliable transportation to program locations?

Yes

Because mentors will work with minors, Frienderly Care Inc. may require selected applicants to successfully complete appropriate screening before working directly with youth.

Are you willing to complete a criminal background check?

Yes

Are you willing to follow Frienderly Care Inc.’s youth safety policies, professional boundaries, confidentiality requirements, and code of conduct?

Yes

Have you ever been dismissed, suspended, or asked to resign from a job or volunteer position involving children or vulnerable individuals due to allegations of inappropriate conduct?

Yes

If yes, please explain:

Is there anything that may affect your ability to safely supervise or mentor youth that you believe Frienderly Care should be aware of?

Yes

If yes, please explain:

MENTOR COMMITMENT

As a mentor, I understand that I may be expected to:

Serve as a positive and responsible role model.
Arrive on time and prepared for scheduled sessions.
Treat every child with dignity and respect.
Encourage leadership, confidence, responsibility, integrity, and teamwork.
Maintain appropriate adult/youth boundaries.
Avoid inappropriate physical contact, language, discipline, or communication with participants.
Follow Frienderly Care Inc. policies and instructions.
Report safety concerns involving a participant to appropriate program leadership.
Protect confidential information regarding participants and families.
Maintain professional communication with youth, parents, staff, and other mentors.

APPLICANT CERTIFICATION

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submitting this application does not guarantee selection as a mentor.

I understand that Frienderly Care Inc. may contact my references and may require additional interviews, documentation, training, or screening before I am approved to work with youth.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Thank You for Applying

Thank you for your interest in helping build the next generation of young men.

Frienderly Care Inc.

www.Frienderlycare.org

info@frienderlycare.org

Provide a copy of your valid government-issued photo ID

Upload your file

Choose a file or drag and drop one here.