* Required field

Mentor Eligibility Criteria

TeamMates is a school-based one-to-one mentoring program that matches screened, trained mentors with youth in grades 3-12. Mentors and mentees meet once a week at the mentee’s school and focus on building a long-term relationship that ideally lasts until the mentee graduates from high school.  If you have questions about the Mentor eligibility and the information requested below, please contact the TeamMates Central Office at (402) 390-8326. This application will take approximately 15 minutes to complete.

Mentor Eligibility Criteria

To become a TeamMates mentor, you must fulfill all of the following:

  • Be 18 years of age
  • Have a high school diploma or GED equivalent
  • Be a citizen of the United States or have proper visa documentation
  • Demonstrate a desire to participate in the program and abide by TeamMates Mentoring Program's guidelines, policies, and procedures
  • Be able to commit to three years of mentoring with the goal of continuing to mentor a young person through high school graduation.
  • Give permission for TeamMates to conduct a periodic criminal background check and child/adult abuse inquiry.

Not eligible to Mentor if you:

  • Have an open warrant for a felony or misdemeanor offense.
  • Are currently under indictment.
  • Have any felony convictions for a crime involving violence, terroristic threats, weapons, sexual offenses, crimes against nature or any felony relating to the welfare of a child.
  • Have any other felony charge under 10 years ago.
  • Have a serious misdemeanor conviction involving violence, theft, drugs, terroristic threats, crimes against nature, weapons, any misdemeanor relating to the welfare of a child in the last 10 years.
  • Have a record of child abuse or neglect.
  • Have a conviction for which you have not yet completed court-ordered disposition (you will need to request court documents showing the completion of these necessary things): still on probation, unfinished community service, unpaid fines.
  • Have been charged with Driving Under the Influence of alcohol in the last 3 years.
  • Have more than one charge of Driving Under the Influence. May be eligible if there have been no alcohol-related charges in the last 10 years.
  • License currently suspended or revoked for any reason
  • Have more than one conviction of Driving Under Suspension or without a license.

You may provide an explanation of the following offenses to determine mentor eligibility:

  • A police record indicating a minor misdemeanor offense or infraction offense.
  • Driving Under the Influence of Alcohol over 3 years ago
  • More than one charge of Driving Under the Influence if both charges are over 10 years old.
  • More than one Non-driving alcohol-related offense over 3 years old.
  • One alcohol-related charge in the last 3 years.
  • A serious misdemeanor conviction if the incident occurred more than 10 years ago including assault, fighting, weapons, drugs.
  • Obstruction of justice in any way including obstruct an officer, obstruct law, resisting arrest.
  • Theft of any kind including theft by deception, theft of services, theft by unlawful taking, shoplifting.
  • Any other misdemeanor conviction that constitutes moral turpitude including: possession or use of drugs or drug paraphernalia, public intoxication
  • Motor vehicle offenses including: a consistent pattern of numerous violations in the past, but license not currently suspended or revoked, consistent convictions of no insurance or no proof of financial responsibility.
  • Felony conviction if the incident occurred more than 10 years prior to the date of application.

****If you feel any of aforementioned offenses pertain to you, you may provide a detailed explanation of the circumstances surrounding the incident and any action taken after the incident where prompted later in the application. Please note that confidentiality of your information will be strictly maintained. 

Volunteer Considerations

Before applying, please agree to the following criteria: 


 

I am applying to become a...
Mentor
Board Member (invitation only)
Both (Mentor and Board Member)
I will be able to meet my mentee once a week (3-4 times a month) at the school during the school day throughout the school year.
Yes No
I do not foresee any moves or job changes that would prevent me from mentoring the next 2-3 years.
Yes No
I will be able to mentor at school, during the school day.
Yes No
I have reliable transportation to a school for mentoring.
Yes No
I will attend an initial 2.5 - 3 hour, in person new mentor training.
Yes No
Personal Information
* First Name
* Last Name
Maiden Name or Other Legal Name
* Date of Birth
* In what CHAPTER (school district) would you like to mentor?
  
Preferred Mailing Type
* Home Address 1
Home Address 2
* Home City
* Home State
* Home Zip Code
* Home Phone
Work Phone
Work Phone Extension
Cell Phone
* Primary e-mail address (please provide)
Secondary e-mail address (if applicable)

The following information is requested for input into our database and is not a determinant of eligibility to be a mentor.

Ethnic Indicator: Hispanic/ Latino
Yes No
Race
If Other Race:
Gender
Highest level of education completed
If other:
Details on how you heard about TeamMatesName of Mentor, Business, etc.
How did you hear about TeamMates?
If other, how did you hear about TeamMates?
Do you speak a second language?
If yes, please specify which language
* Please select item(s) that best categorize your current status
Please specify other category of employment
* Current Place of Employment
Please specify if other here
* Occupation
* Student College or University
* Expected graduation date
Post Secondary Education
School City
School State
Degrees/Certificates

Please provide the following information for three references (required for eligibility).  Retired or self-employed applicants please list an additional friend reference.  I understand that references may be requested that will include information as to my character, work habits, performance, and experience. 

Family Reference
* First Name
* Last Name
Relationship
Family Reference Email (required)
Cell Phone
* Home Phone
Work Phone
Friend Reference (person that has known you for over a year and is not a family member)
* First Name
* Last Name
Relationship
Friend Reference Email (required)
Cell Phone
* Home Phone
Work Phone
Employer/Other Reference (person that has known you for over a year and is not a family member)
* First Name
* Last Name
Relationship
Employer Reference Email (required)
Cell Phone
* Home Phone
Work Phone
Emergency Contact Info
Emergency Contact Name
Emergency Contact Phone Number
Other Considerations
Do you have any future changes that will affect your ability to mentor, such as a job change, extended travel, military deployment, study abroad, internship participation, student teaching, etc?
Yes No I don't know
If yes, please details the change and the year this will happen
Do you have an specific training, skills, or hobbies that would be beneficial for your mentoring experience?
Yes No
If yes, please explain
Why are you interested in becoming a mentor?
What are you hoping to get out of this experience?
What do you hope your mentee will get out of this experience?
Have you previously applied to be a volunteer in other youth serving organizations?
Yes No
If yes, please explain
I wish to offer an explanation for incidents that may appear on my background check.
Please note that your explanation is reviewed only by TeamMates’ Central Office. Your confidentiality will be strictly maintained.

I agree to the following:

  • To actively participate in training sessions before beginning.
  • To be on time for scheduled meetings.
  • To sign in on the volunteer registration sheet at the school prior to each visit.
  • To notify the school office if I am unable to keep my regularly scheduled meeting with my youth TeamMate.
  • To engage in the one-to-one mentoring with an open mind.
  • To accept assistance from the student’s teachers and TeamMates Mentoring Program Coordinator.
  • To keep discussions with the student confidential, except to inform the teacher or program coordinator about situations that negatively affect the student’s health or welfare.
  • To ask the program coordinator when I need assistance or do not understand something.
  • To notify the program coordinator of any changes in my employment, address, or phone number.
  • To notify the program coordinator of any problems or difficulties with the relationship.
  • To notify TeamMates of any criminal charges brought against me while I am a TeamMates Mentor.
  • To cooperate with the program’s policies and procedures.
  • To allow TeamMates to use my photograph/image or likeness as needed.
  • To permit a criminal background check be run every 3 years.
  • To permit TeamMates to contact other youth serving organizations I have listed.

I have read the above statements and agree to the contents.  To the best of my knowledge and belief, all statements in my application are true and accurate.  I understand the TeamMates Mentoring Program reserves the right to deny acceptance to any mentor and to terminate a mentor from the program.  I understand that in the event a decision is made based upon the results of my background check, a report will be furnished to me upon my request.

* I agree
* Name
* Date