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Become A Mentor!

Sign Up To Be A Mentor

Name(Required)
MM slash DD slash YYYY
How did you hear about us?(Required)
Do you have any health conditions which may affect your performance of volunteer work?(Required)
Have you ever been charged with a misdemeanor or felony involving crimes against nature, child endangerment, and/or alcohol-substance abuse or sales?(Required)
Do you currently have valid auto insurance?(Required)

Section 2- FOR DEMOGRAPHIC PROCESSING ONLY

Ethnicity(Required)
Race(Required)
Gender(Required)
I certify that the above information is true to the best of my knowledge. I understand that any false or misleading statements I have supplied are grounds for terminating placement as a volunteer with Volunteers of America Southeast Louisiana Mentoring Children of Promise Program. I further understand that copies of the application, references, police checks and/or interview notes will be used as qualifications for mentoring program.(Required)
MCP Grievance Procedure: If you feel that your rights as a consumer of Volunteers of America Southeast Louisiana have been violated, you have the right to file a formal grievance. If your direct care staff person has violated your rights as a VOASELA consumer, you may contact Sherlyn Hughes, Program Director, at 504-836-8700. If you feel that Ms. Hughes has violated your rights as a consumer of VOASELA, you may contact the agency at 504-482-2130.(Required)
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