Face-To-Face Project Registration

Please enter information about the mentoring project.

* indicates required field
   
Coordinator Login ID*
Coordinator Password*
   
Project Name*
Street Address*
City*
State*
Zipcode*
County*
Start Date*  (mm/dd/yyyy)
End Date  (mm/dd/yyyy)
Please leave blank if there is no end date.
Provide a brief description of the youth participants in your mentor project (average age, spedific risks identified, environmental issues, ect.)*
Provide a brief project overview*
Project Clearance Information
What is the minimum age requirement to be a mentor?*  
How many mentor references are required?*  
Will your project do mentor clearance?*  
Will mentor DOJ clearance be required?*  
Will mentor FBI clearance be required?*  
Will mentor fingerprint be required?*  
Will mentor driver license clearance be required?*  
Will proof of insurance be required?*  
Will mentor DMV clearance be required?*  
Will mentor TB test be required?*  
Will mentor training be required?*  
Will sex offender search be required?*