Which days of the week are you available? Monday Tuesday Wednesday Thursday Friday Saturday Sunday How long are you able to commit to volunteering? 3 Month 6 Month 1 Year Year + Mentor Type Select "Lifeties PRIDE Mentor" if you are interested in providing support for a young person in LGBTQIA+ community. Select "LifeTies Mentor" if you are interested in supporting a Mercer County youth who has a minor offense in the youth justice system. Select "Stepping Stones to Resiliency" if you are interested in supporting a young person who has a family member struggling with addiction; or who lost a loved one to overdose. Select "Camden Promise Neighborhood Mentor" if you work in the Camden City School District and would like to be a mentor to a student. Lifeties PRIDE Mentor Lifeties Mentor Stepping Stones to Resiliency Mentor Camden Promise Neighborhood School Based Mentor Learn more about each option Information Session Are you available for a 1 hour information session to learn more about the mentoring programs and next steps? More information will be provided about the dates and times offered in order to accommodate your schedule. Yes No Please tell us why this opportunity is a good fit for you Personal Information First Name Middle Initial Last Name Street Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Gender Contact Number Email Education and Employment History Highest level of education Current Employer Job Title Years of employment Address References Reference 1 Ref 1 Full Name Ref 1 Phone Number Ref 1 Relationship to Applicant Reference 2 Ref 2 Full Name Ref 2 Phone Number Ref 2 Relationship to Applicant Questions & Signature By clicking this box and typing your name… By clicking this box and typing your name below, you are electronically signing your application, certifying that the information you''ve provided is accurate, and provide permission to Center For Family Services to contact any schools, employers, or references. Do you have any questions that our staff can answer for you before beginning volunteering? Signature
