Become a Mentor

Personal Details

Mentors/Volunteers play a vital role in the communities across the network of I’M JUST ME MOVEMENT. All volunteer/mentor applications are reviewed with consideration of current volunteer/mentor opportunities. The information you provide will be stored in confidence under the provisions of the Data Protection Act. Your completed form will be held securely and confidentially. Only authorized staff will have access to your information.

Name(Required)

Prefix First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Birthday(Required)

MM slash DD slash YYYY

Equal Opportunities

I’M JUST ME MOVEMENT is committed to equal opportunities and all volunteer recruitment decisions will be based on merit, suitability for the role and experience. All volunteer recruitment decisions will not be influenced by race, color, nationality, religion, sex, marital status, family status, sexual orientation, disability, age or membership of the Traveler Community. I’M JUST ME MOVEMENT fully endorses a working environment free from discrimination and harassment. I’M JUST ME MOVEMENT is committed to standards of excellence in Child Protection practices. Where your volunteer role may have direct contact with children, you maybe be required to complete a Vetting Form, which will be processed by the office of I’M JUST ME MOVEMENT. In the meantime, please complete the question below.

Have you ever been convicted of an offense in the USA or elsewhere?(Required)

Yes

If you check yes, please provide details below

Your Skills and Interests

Have you ever done any voluntary work before?(Required)

Yes

If you answered yes, please tell us a little about the experience.

Why do you want to volunteer now? What has motivated you to get in touch with us?(Required)

Do you have any particular skills or qualities that you could use in your voluntary work?(Required)

Are you applying for LIVE LIFE FORWARD MENTOR PROGRAM?(Required)

Yes

What kind of voluntary work interests you?(Required)

Board of Management

Parents Association

School-Based Activities

Project-Based Volunteering

Internship in our Office

Other/Mentor Program

When are you available for voluntary work?

(Days of the week, and morning/afternoon/evening)

How long do you intend to volunteer for?(Required)

(note that some opportunities demand a minimum time commitment, ie. Board level roles)

Where do you wish to volunteer?

(County / City Area or Office / Local School)

How did you find out about volunteering with I’M JUST ME MOVEMENT?(Required)

Information / Outreach meeting

I’M JUST ME MOVEMENT Website

Leaflet / Poster

Word of Mouth

Media Radio / Television / Newspaper

Other

Reference 1

Name(Required)

First Last

Relationship(Required)

Place of Work

Phone(Required)

Email(Required)

Reference 2

Name(Required)

First Last

Relationship(Required)

Place of Work

Phone(Required)

Email(Required)

Final Step

Is there any additional information you would like to bring to our attention?

I declare that the information I have provided is true. All my actions as a volunteer will reflect the ethos of I’M JUST ME MOVEMENT and I agree that being Child-Centered will be central to my role.

UNDER THE PENALTIES OF PERJURY, I DECLARE THAT ALL OF THE STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE, AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

I understand that, by submitting this application, I authorize inquiries to be made concerning my employment and character for the purpose of determining my suitability as a volunteer. I further authorize the I’M JUST ME MOVEMENT to complete record checks through local, state, and national law enforcement, child abuse, and motor vehicle registries. All information will be held in the strictest confidence.

I agree to keep all information and knowledge relating to clients of I’M JUST ME MOVEMENT and Juvenile and their families strictly confidential Please complete and send back.

Signed(Required)

Date Signed(Required)

MM slash DD slash YYYY

Personal Details

Equal Opportunities

Your Skills and Interests

Reference 1

Reference 2

Final Step

Quick Links

Events