Apply To Be A Mentor

Name(Required)
MM slash DD slash YYYY
Address(Required)
Emergency Contact Information
Max. file size: 8 MB.
Please select all areas of interest (Unless otherwise noted, all mentors must be 16 years of age or older)(Required)
Respecting the privacy of our clients, board members, donors, employees and volunteers of the Living and Learning Enrichment Center itself is a basic value of the Living and Learning Enrichment Center. Personal and financial information is confidential and should not be disclosed or discussed with anyone without permission or authorization from the director, Rachelle Vartanian. Care shall also be taken to ensure that unauthorized individuals do not overhear any discussion of confidential information and that documents containing confidential information are not left in the open or inadvertently shared. Employees, subcontracted employees, volunteers, and board members of the Living and Learning Enrichment Center may be exposed to information which is confidential and/or privileged and proprietary in nature. It is the policy of the Living and Learning Enrichment Center that such information must be kept confidential both during and after employment or volunteer service. Staff and volunteers, including board members, are expected to return materials containing privileged or confidential information at the time of separation from employment or expiration of service. Unauthorized disclosure of confidential or privileged information is a serious violation of this policy and will subject the person(s) who made the unauthorized disclosure to appropriate discipline, including termination. Certification I have read the Living and Learning Enrichment Center's policy on confidentiality and the Statement of Confidentiality presented above. I agree to abide by the requirements of the policy and inform my supervisor immediately if I believe any violation (unintentional or otherwise) of the policy has occurred. I understand the violation of this policy will lead to disciplinary action.
Living and Learning Enrichment Center has my permission to do a criminal background check on me. This will be done through the following: - Central Registry Clearance Request -Child Abuse/Neglect (Annually) - Michigan Public Sex Offenders Registry (Annually) - National Sex Offenders (Annually) - iChat (Annually) - OIG (Monthly) - SAM.GOV (Monthly)
This field is for validation purposes and should be left unchanged.