The Mayfly Project Mentor Application

Date
Date
Name *
Name
Contact Number
Contact Number
Do you have a drivers license and car insurance?
Emergency Contact
Emergency Contact
Emergency Contact Phone Number
Emergency Contact Phone Number
Have you ever been convicted of a felony or have any background that includes problems with the law, drugs or alcohol abuse?
Do you have any experience working with children?
Do you have experience in teaching fly fishing? (No worries if the answer is no)
During the selection process, The Mayfly Project may ask for more information about your life, as well as ask questions from the references you listed below
References
Please include someone knowledgeable about your professional performance, a personal family friend, and someone who knows you well. We will only check in on references to confirm you are who you say you are, for the safety of our foster kids. List the names and phone numbers of individuals who will be completing confidential reference forms.
Professional Reference *
Professional Reference
Phone
Phone
Other Reference *
Other Reference
Phone
Phone
Other Reference *
Other Reference
Phone
Phone
Applicants Digital Signature
All applications and references are confidential. Applications will be reviewed by TMP staff, and we will discuss questions about the application in our follow up correspondence. Thank you for your time!
Date
Date