I understand that Eye to Eye staff have final right to accept applicants into the program at their sole discretion, and that Eye to Eye staff reserve the right to terminate any Mentor from the program at any time for any reason. I certify that I am at least 16 years of age. I will follow all rules and guidelines as outlined by Eye to Eye staff, Mentor training, program policies, and this contract.
I certify that I have not been convicted of any felony or misdemeanor classified as an offense against a person or family, of public indecency, or a violation involving a state or federally controlled substance. I hereby certify that I have never been accused, arrested, charged, or convicted of child abuse. I am not under current indictment.
I give permission for Eye to Eye program staff to conduct a criminal background check and verify any and all information provided by me on this application as part of the screening for entrance into the program. I consent to the preparation of background reports by Verified Volunteer, a background check company, and to the release of such reports to Eye to Eye for the purpose of assisting Eye to Eye in making a determination as to my eligibility to be a volunteer. I understand that, to the extent allowed by law, information contained in my application or otherwise disclosed to Eye to Eye by me before or during the volunteer period, if any, may be utilized for the purpose of obtaining such consumer reports and/or investigative consumer reports about me. I authorize law enforcement agencies, learning institutions, information service bureaus, credit bureaus, record/data repositories, courts (federal/state/local), motor vehicle record agencies, the military, and other individuals or sources to furnish any and all information on me that is requested by the consumer reporting agency.
I understand that the program takes place solely within the scheduled sessions, exclusively at the program location, and I agree to limit my actions to the activities permitted within the confines of the program’s policies. I understand that any relationships or contact established between Mentor/Mentee and family members beyond the organized and supervised activities of the program are neither encouraged nor condoned. I understand that upon the ending of the academic year, future contact with my Mentee is beyond the scope of Eye to Eye and may happen only by the mutual consensus of the Mentor, the Mentee, a representative of the Mentee School and parent/guardian. If future contact is agreed upon, Eye to Eye will not be responsible for monitoring and supporting the match after the match has ended and Eye to Eye will not be liable for any incidences that occur after the match has closed.