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Mentor Application

tnAchieves Mentor Application


If you have served as a mentor in the past, but you did not mentor in 2016, please complete a new mentor application.
PERSONAL INFORMATION

















*tnAchieves completes a criminal history and sex offender registry background check on all of our mentors prior to pairing them with students. 
PROGRAM INFORMATION


 (If your school is not listed, please email graham@tnachieves.org.)












 
 
Do you know a person, organization, or business we could visit to connect with potential tnAcheives mentors? If so, please provide information below.


Mentor Agreement
By typing my initials in the box below, I am indicating that the information I have provided is true to the best of my knowledge. I agree to allow the program to confirm all information listed and to conduct a criminal records check. I have read and understood the program's responsibilities for assuming my role as a tnAchieves mentor and agree to commit to the follow: a one hour mentor training, a one hour team meeting in March/April, a one hour team meeting in October, to assist the students with any college related questions or concerns, and to provide encouragement to ensure the students reach their full potential.

 

BACKGROUND CHECK RELEASE


 

AUTHORIZATION FOR RELEASE OF INFORMATION

I authorize tnAchieves to obtain investigative consumer reports about me at any time after receipt of this Authorization and, if my services as a volunteer are accepted, throughout my service to them. To this end, I direct and authorize, withour reservation, any person or entity, including but not limited to, any corporation, company, business, law enforcement agency, administrator, city, county, state or federal agency, institution, school or university, information service bureau, employer, past or present, or insurance company to furnish, supply, and release any and all information regarding myself to ESS, Inc., 2500 Southlake Park, Birmingham, AL 35244, toll free 866-859-0143, www.es2.com, or its subcontractor or another outside organization acting on its behalf.

 

The term "background information" includes, but is not limited to, criminal and civil history information, motor vehicle records, moving violation reports, sex offender status information, and information related to my Social Security number. I agree that a facsimile, electronic or photgraphic copy of this Authorization shall be as valid as the original. I understand I can view ESS's Privacy Policy on its website, www.es2.com. PLEASE NOTE: tnAchieves only runs and reviews criminal history and sex offender registry data. 

 

By typing my initials below, I authorize tnAchieves to obtain investigative consumer reports about me at any time after receipt of this Authorization and, if my services as volunteer are accepted, throughout my services to tnAchieves.


 

ELECTRONIC SIGNATURE

Consumer Disclosure: Employment Screening Services requests that tnAchieves provide documents, notices, and disclosures and that we obtain your signature. This electronic transaction is provided by tnAchieves in order to obtain your signature electronically and complete a background check.

 

Scope of Consent:  You are agreeing to receive electronic notices and disclosures and to provide electronic signatures over the course of your relationship with tnAchieves. You are also agreeing to conduct transactions with tnAchieves electronically. tnAcheives will provide your information to Employment Screening Services (ESS), tnAchieves' background check service, who will run a criminal history and sex offender registry report. You may at any point withdraw your consent by following the procedures decribed below. By proceeding forward and signing this document, you are agreeing that you have reviewed the consumer disclosure information and you consent to transact business using electrnoic communications and to utilize electronic signatures in lieu of using paper documents. You are not required to receive notices and disclosures electronically or sign documents electronically. If you prefer to do so, you may withdraw your consent at any time as described below.

 

Paper Copies: At the conclusion of this transaction, if you would like paper copies of documents or disclosures, please contact Ben Sterling with tnAchieves at 865-567-1140 or ben@tnachieves.org. If you wish to conduct this transaction with paper copies in lieu of electronic documents, you may close this web browser and contact Ben Sterling with tnAchieves at 865-567-1140 or ben@tnachieves.org. Please note: The decision to conduct this transaction electronically is solely between you and tnAchieves. 

 

Withdrawal of Consent: You may withdraw your consent to an electronic signature and the completion of a background check, and to receive electronic documents, notices, and disclosures at any time. In order to withdraw consent, you must notify tnAchieves that you wish to withdraw consent and receive all future documents, notices, and disclosures in paper format.

Returning Mentor Application




*Please note that the email address you enter here must match the address we have on file for you. If your email address has changed, please notify Ben Sterling, ben@tnachieves.org.


If your school is not listed, please contact Graham Thomas - graham@tnachieves.org.



 
Do you know a person, organization, or business we could visit to connect with potential tnAcheives mentors? If so, please provide information below.


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I am currently a...

I want to become a(n)...

I see kids every day who never thought college was possible for them, but are now excitedly scheduling their classes for next year. It's been a thrill to be a part of it!
- Becca, Warren County mentor
I really enjoy being a mentor, it is a great experience for me. I have received nothing but positive feedback from my students and their parents about the program.
- Floriana, Robertson County mentor
As the only person in my family to ever go to college, tnAchieves has made it easier for me to understand what I need to do to succeed.
- Central H.S. Student
tnAchieves introduced me to my mentor, Charlee, who helped me get on track and kept me focused. With her help, I was able to realize that anything was possible.
- Fulton H.S. Student
The students’ desire for help was an eye-opener. I did not realize that they would want, need, and appreciate my help as much as they did!
- Olivia, Hancock County mentor and tnAchieves Ambassador
I’m very proud to be a part of the history being made right in front of our eyes.
- Benny, Lewis County mentor
All my life I always said that I would be the first in my family to make it to college and graduate. tnAchieves is helping my dream come true.
- Austin East H.S. Student
Going to college would be a milestone that I can not hope to reach without the help of tnAchieves.
- Powell H.S. Student
I believe the students really get it now, and know that there are people who are invested in their futures
- Charles, Shelby County mentor