Mentor Application

Thank you for applying to become a mentor!
The questions below will help us get to know you, how you can best contribute to this mentoring program, and who might be the best mentee match for you.
Personal Information

Mentoring Interest

Education

Background Information

References
Please list four references (please include at least one family member, one personal friend and on work reference):

Agreement

In completing this application to be a volunteer, I understand that the Newark Chess Club may require criminal background checks for the position of mentor for which I am applying. This check may be done on me if I sign below. If I fail to sign, it may be grounds for declining me as a mentor.

I also agree to abide by the rules and regulations of the program and fully discharge the Newark Chess Club from liability and claims resulting from my volunteerism.
I certify to the best of my ability that the information provided on this application is true and accurate. I also understand that misinformation knowingly provided here is grounds for dismissal.



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