Lutheran Social Services of South Dakota

Mentor Volunteer Application

Mentor Volunteer Application

"Those of us involved in the Everyday Heroes campaign believe the true worth of a community is measured in how it invests in the lives of its children. We believe a city blessed with our good fortune ought to provide a mentor to every single student who needs one."
- Randell Beck, Mentor

If you are interested in becoming a mentor, please complete the fields listed below and click "Send Now" at the bottom of the page. If you do not receive a confirmation email within 48 hours confirming the application went through successfully, please contact Mentoring Services at 605-221-2403.

Please also complete the attached release for a criminal background check. Note: Both the application and release forms must be completed in order to apply to become a mentor.

Contact Information

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School Preference

Mentoring programs are offered in the following schools. Please check your preference.

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Referral Information



Matching Information

If volunteering as an in-person mentor, I am available the following days/times during school hours (typically 8-3):



References

Please list three non-family references. Please provide complete information to expedite your application.

1st Reference


2nd Reference


3rd Reference


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Mentor Agreement

Please check yes or no to confirm your understanding of the program guidelines. Thank you for carefully reading before completing.

By checking yes or no, I hereby state that if accepted as a mentor, I agree to abide by the rules and regulations of the school and the Mentoring Programs. I affirm that:

For All Mentors

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For School-Based Mentors

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For USucceed Mentors

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