Mentoring Application Legal Name* Last Name* Date of Birth* (MM/DD/YYYY) Contact Information Please fill out the best way to contact you. You must answer at least one method of contact. Cell Phone # Email Address Educational Background Please supply the information of the most recent schools you attended or are attending. School #1* Graduation Year* Course of Study* School #2 Graduation Year Course of Study Volunteer Background Please supply the information of the most recent volunteer positions you served or are serving. Organization #1 Position Dates of Employment - Organization #2 Position Dates of Employment - Language(s) List all languages you speak: Criminal & Disciplinary Record Because of OTM’s mission to raise Christian leaders with the utmost highest moral and spiritual character for teenagers, we request that you provide accurate information to the following: Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations)?*YesNo Have you ever been charged with a sexual offense, crime of violence or offense relating to children?*YesNo Have you ever been subjected to expulsion, reprimand or other disciplines by a church, denomination or other religious organization, including Olivet Teen Mission?*YesNo If you answered “yes” to any of the above, please explain:* Availability OTM desires to provide the best training in order for our applicants to fill confident in their roles as mentors. We require at least 12 hours of training. Are you able to attend the 12 hours of training?*YesNo Our trainings take place mostly on the weekends. Are you able to attend the training on the weekends?*YesNo We have other ways in which you could participate in the lives of teens through volunteering at a local church. Would you be interested in any volunteering opportunities?*YesNo Faith Background Briefly describe your Christian experience.* Why would you like to be involved as a mentor?* Statement of Faith We believe in the Holy Scriptures as originally given by God, divinely inspired, infallible, entirely trustworthy; and the supreme authority in all matters of faith and conduct. We believe in One God, eternally existent in three persons, Father, Son, and Holy Spirit. We believe in Our Lord Jesus Christ, God manifest in the flesh, His virgin birth, His sinless human life, His divine miracles, His vicarious and atoning death, His bodily resurrection, His ascension, His mediatorial work, and His Personal return in power and glory. We believe in the Salvation of lost and sinful man through the shed blood of the Lord Jesus Christ by faith apart from works, and regeneration by the Holy Spirit. We believe in The Holy Spirit, by whose indwelling the believer is enabled to live a holy life, to witness and work for the Lord Jesus Christ. We believe in the Unity of the Spirit of all true believers, the Church, the Body of Christ. We believe in the Resurrection of both the saved and the lost; they that are saved unto the resurrection of life, they that are lost unto the resurrection of damnation. I agree with the Statement of Faith and certify the above statements are true.*YesNo Acknowledgement Statement I hereby apply for the Olivet Teen Mission International mentoring program. I understand that OTM International will review my application and I will be required to participate in the mentor training for at least 12 hours. I further agree to go through a background check under a background agency (all expenses to be paid by OTM International) which OTM will provide after reviewing and approving the application. I agree to notify OTM International immediately of any changes in the information provided in the application process including but not limited to the following: name change, contact change, or legal change. I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief. I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this application void and will be cause for termination, whenever discovered. Δ