Mentor Application Form

Name*
Address 1*
Address 2
City*
State
Country*
Zip*
Phone Number*
E-mail*
Type of Business*
Business Name*
Mentor's Position in the Business*
Description of Mentorship Opportunity*
Nature, Length, and Type of Mentorship*
Hours per week*
Is this a paid position? (please explain)
What qualifications are expected from an apprentice?*
I have read the Christian Home Educators of Colorado Statement of Faith, and agree to adhere to the statements therein in the mentorship of any program. (If you disagree, please state the reason below.)
Agree/Disagree to Statement of Faith*
   
If you disagree with CHEC's Statement of Faith, please state your reason:
I understand this information will be posted in a password-protected website issued by Christian Home Educators of Colorado/AME, only for those potential candidates to review who have been certified by the CHEC Apprenticeship Mentorship and Entrepreneurship program.
I agree to release Christian Home Educators of Colorado/AME 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 to perform all due diligence in examining and considering any apprentices that I or my business may meet or work with through the AME Program.
Please re-enter Email for Verification**
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