Class of 2019 New Mentor Application

 tnAchieves Logo

Step 1

PERSONAL INFORMATION
















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

Step 2

Mentoring Information


We will assign you to the high school in this county with the greatest need in February.



If your school is not listed, please email ben@tnachieves.org!

If your school is not listed, please email ben@tnachieves.org!











Do you know a person or organization that would be interested in mentoring? If so, please enter their information in the fields 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 September, 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

Disclosure of Procurement of Consumer Report:
Please be advised that tnAchieves will obtain information about you from a Consumer Reporting Agency in order to evaluate your eligibility for the purpose of utilizing your volunteer services. Reports may include criminal & civil history information, motor vehicle records and moving violation reports, sex offender status reports, and Social Security Verification. You should carefully consider whether to authorize the procurement of a report. Please be further advised that you have the right, upon written request to tnAchieves, made in a reasonable time after receipt of this notice, to obtain a complete and accurate disclosure of the nature & scope of any such report.
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 ("The End User") to obtain investigative consumer reports and consumer reports about me at any time after receipt of this Authorization and, if my services as volunteer are accepted, throughout my services to End User.

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 described 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 electronic 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.