Become a Best Friend

Thank you for your interest in mentoring through Best Friends of Neenah-Menasha!

If you are interested in becoming a Best Friend, please fill out the below application and click submit. Once complete, we will start to process your information as soon as it is received. We will connect with you for the next steps necessary to match you with a Young Friend on our Waiting List. Thank you for your interest!

Note: This application is for adults 18 years-old or older. If you are a high school student looking to become a Best Friend in the Lunch-Mentoring Program or After-School Program, please contact us.

 

Mentor Application

Contact Information
Name *
Name
Address *
Address
Date of Birth *
Date of Birth
Address, City, State, Zip Code and Dates lived there. If this does not apply, enter N/A.
Home Phone Number
Home Phone Number
Mobile Phone Number
Mobile Phone Number
Work Phone Number
Work Phone Number
Personal
Please give their name, date of birth and relationship to you. If you live alone, enter N/A
Do you anticipate any changes in any of the following areas? *
Transportation
Legal Issues
Have you ever had contact with the police and/or court system for any of the following? *
Have you had any criminal charges pending against you or open arrest warrants?
Are you under charges for a crime and ordered by a court to participate in a deferred prosecution program, such as accelerated rehabilitative diversion, stipulated order of continuance, alternative adjudication, suspended sentence, or any other court-created alternative sanction?
Under your current name or any other name, have you ever been convicted of a crime other than a minor infraction or moving violation?
Have you ever been convicted of or plead guilty to any crime(s) involving or against a minor?
Are there any criminal charges pending against you regarding any crime(s) involving or against a minor?
Have you ever been refused participation in any other youth programs?
Any other involvement with the law?
List all misdemeanors and felonies if you answered "Yes" to the question above: If Yes, name used
Date of Offense (mm/dd/yyyy)
Court Location
Nature of Offense
Disposition
You are responsible for notifying a Best Friends staff member of any police contact from this point forward. Failure to notify may result in the termination of your match. *
Volunteer Experiences
Commitment
References
Please list FOUR references. References can be from a mix of coworkers, friends or family. At least one reference must be from a family member. Please give references that you've known for at least one year. You MUST provide an address and/or email address for each reference in order for check to be completed.
Reference 1 *
Reference 1
Reference 1
Reference 1
Phone Number
Phone Number
Reference 2 *
Reference 2
Reference 2
Reference 2
Phone Number
Phone Number
Reference 3 *
Reference 3
Reference 3
Reference 3
Phone Number
Phone Number
Reference 4 *
Reference 4
Reference 4
Reference 4
Phone Number
Phone Number
The information shared on this form is true and accurate to the best of my knowledge and I realize any misleading information may disqualify me as a candidate. I authorize Best Friends of Neenah-Menasha to release/exchange information with the references supplied in this application and other youth-serving agencies as needed. *
The information I provided can be used to conduct a thorough background check, to include all records where required by law for volunteers working with youth. *