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Mentor Application
Thank your interest in becoming a LID Foundation Mentor. The information in this application will help us match you with a mentee and will be kept confidential. If you have any questions, please stop and call our office at 303-229-5895.
* Indicates required question
First, middle, and last name
*
Your answer
Email
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Your answer
Address
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Your answer
Phone Number
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Your answer
What is your preferrred method of contact?
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Phone
Email
Text
Employer
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Your answer
Birthdate
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Your answer
Social Security Number
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Your answer
Family?
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Single
Married
Divorced
Seperated
Widowed
Spouse's Name
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Your answer
Children Name(s) and Age(s)
Your answer
High School Attended
Your answer
Year Graduated
Your answer
College, Tradeschool, Certifications
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Your answer
Do you have a Valid Drivers License?
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Yes
No
Do you have a current vehicle insurance as required by your state law?
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Yes
No
Have you mentored youth before? If yes where?
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Your answer
Are you interested in local mentoring in your city or virtual mentoring?
Your answer
How did you hear about LID Foundation
Your answer
Thank you again, we know your time is valuable and we appreciate all you invest in this program!
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