Scholar Career Coaching Volunteer Application


Agreement Acknowledgement







Basic Details

Full Name

Required

Email

a valid email

Phone number

County

select one

Position

Applying for

Day

Availability

Hours

Weekly

Status

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Reference I

Full name & Number

Current Employer

Company name

How did you hear about us?


Agreement Acknowledgement


I understand that I will receive no monetary benefits in return for my volunteer service and that Scholar Career Coaching may terminate this agreement at any time without prior notice for any reason. I hereby authorize Scholar Career Coaching to check my references.

I attest that I have not been convicted of any felony or misdemeanor classified as an offense against a person or family, or public indecency, or a violation involving a state or federally controlled substance. I am not under indictment.

I hereby fully discharge Scholar Career Coaching from any and all liability, claims, death, causes of action, costs and expenses which may be attributable to my participation in the Mentoring Program.

I certify that my answers on this application are true and complete. I understand that any misrepresentation or omission of facts on this application could be cause for rejection of this application or dismissal.

Replocate Option

select one

Signature

Full name

Today Date


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