Apprentice Application Form

Name*
City*
State*
Zip*
Phone Number*
E-mail*
Area of Interest (Describe the business or ministry in which you would like to be mentored. Be as general or specific as desired.) *
Have you been mentored by anyone in the past? (If yes, please explain)
What do you hope to learn from a mentor? *
Type of mentorship What is your interest level for the intensity of the program? (e.g. duration, hours per week, etc. Be as general or specific as desired.)*
Will participate only if paid?
Please briefly describe your educational and life background, including any strengths or weaknesses that you would like to work on in the AME Program. *

1. This information may be posted in a password-protected website issued by Christian Home Educators of Colorado, only for those potential candidates to review who have been certified by the CHEC Apprenticeship Mentorship and Entrepreneurship program. 2. I agree to release Christian Home Educators of Colorado from any and all liability relating to any situation that may arise from my involvement in this program. I understand that it is my responsibility and my parent’s responsibility to perform all due diligence in examining and considering any mentors or businesses that I may meet or work with through the AME Program.

Sign Participant Name*

3. We, the parents of the above stated child, do agree to release Christian Home Educators of Colorado from any and all liability relating to any situation that may arise from our involvement or our child’s involvement in this program. We also understand that it is our full and complete responsibility to perform all due diligence in examining and considering any mentors or businesses that my child may meet or work with through the AME Program.

Sign Parent(s) Name*
Signed Date
     

Parents:

We will send a confirmation e-mail to your address above. Your child will gain access to the AME Network after you verify by following the link in the confirmation e-mail.

Parent E-mail Address:*
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