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The Village Project Mentor Application (10-2011) - utcourts

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The document is an application form for the Village Project Mentor Program, managed by the Third District Juvenile Court in Utah. It collects personal information from potential mentors, including contact details, availability, background information, and preferences for mentoring youth. The form emphasizes the importance of confidentiality and includes a criminal history check process to ensure the safety of the children involved. Additionally, it outlines the responsibilities and commitments required from mentors.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your personal information, including your name, date of birth, and contact details. Ensure accuracy as this information is crucial for communication.
Indicate how you heard about the Village Project Mentor Program by selecting the appropriate option from the list provided.
Specify your child preference by checking the relevant boxes for grade levels and gender.
Complete the background information section voluntarily, including sex, race, marital status, and education details. This helps in matching mentors with mentees effectively.
Review and initial each statement regarding your understanding of the mentor program's requirements and confidentiality obligations.
Finally, sign and date the application at the bottom to confirm that all provided information is accurate.

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