The following information will be used to create your profile. Data submitted on this page will not be visible to site visitors. Name* First Last Date of birth* MM slash DD slash YYYY Native Language*EnglishSpanishOtherHome phone*Mobile phone*Email address* Enter Email Confirm Email Street Address*This field will not be visible to the public. City*This field will not be visible to the public. State*This field will not be visible to the public. You must be a resident of the state of Idaho.IDZip Code* Gender* Female Male Marital status*MarriedWidowedSeparatedDivorcedSingleWhat are the ages of your children?*Please provide gender (male/female) and ages of each child.Male or FemaleAge Tell Us About Yourself1. Why do you want to be a family mentor?*2. Tell us about any educational, volunteer or professional experience, passions, and/or interests.*3. Do you hold any professional licensing, certifications, or training that could come in handy as a parent mentor?*4. What life experiences have prepared you to be a mentor?*5. Every one passes through adversity. Share a time you faced adversity. What lessons could you pass on to another who is passing through their own struggles?*6. What activities do you enjoy doing in your spare time?*7. Growing up, who had a strong influence upon you, either positive or negative?*8. What skills do you possess that would be beneficial to the families we serve?*9. Have you ever been involved with CPS or law enforcement in the past? Either positively or negatively.*10. Are you willing to attend quarterly trainings and an occassional class or event with your mentee?*11. Are you comfortable with the possibility that your mentee could become a life-long friend and connection?*Credit Card*Card Details Cardholder Name Registration feeRegistration FeeThis fee covers your background check. $0.00 CAPTCHA