For US Mentors
  1. First Name(*)
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  2. Last Name(*)
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  3. Email(*)
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  4. Mentor Criminal Background Clearance Notice and Consent
  5. Mentor Criminal Background Clearance Notice and Consent Because we work with minor-aged children, all Infinite Family mentors need to have a Criminal Background Clearance concerning your police record on file. Infinite Family staff will conduct the Criminal Background Clearance during your phone interview through a consumer reporting agency. This report does not include information concerning your character, employment history, general reputation, personal characteristics, education, qualifications, mode of living, and/or credit and indebtedness. Currently, Infinite Family uses First Advantage| Volunteer Advantage to provide these reports, but Infinite Family may use another reporting agency in the future.

    Please answer the questions below and confirm that you have read and approve the process for Infinite Family to obtain a Background Clearance.

  6. 1. Have you ever been convicted for violation of law (other than traffic violations) in your current state of residence or elsewhere, and all currently pending everywhere?(*)
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  7. 2. If yes, please list the offense, date of conviction, court and location, disposition and penalty, and any comments:
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  8. In order to obtain the consumer report, an Infinite Family employee will request your social security, address, and date of birth during a phone interview, and at the same time, submit it directly to the reporting agency. Infinite Family will not keep its own records of this information you give over the phone.
  9. Should you have a criminal record, Infinite Family will conduct a more in-depth interview with you before making a decision about your application. Within 5 days of your written request, Infinite Family will provide you with a copy of the report, the name, address, and telephone number of the reporting agency, a summary of your rights under the Fair Credit Reporting Act, and additional information on your rights under the law.
  10. By checking this box I certify that I have read this Mentor Criminal Background Check Notice and Consent and hereby authorize Infinite Family to obtain a Criminal Background Clearance from a consumer reporting agency. I understand that my social security number will be needed to conduct the background check.
  1. Ethical Guidelines
  2. I understand that Infinite Family’s priority to is to protect and help Africa’s teens and pre-teens to become self-reliant adults. I agree to support this mission and to abide by this waiver in order to promote the best interests of the African teen or pre-teen who I will mentor.

    I agree to:

    1. Only contact my Net Buddy via Email, Videoconferencing, Online Chat and Instant Messaging through the Ezomndeni Net.
    2. Maintain the safety, security and privacy of Infinite Family Net Buddies at all times.
    3. Keep confidential the information shared with me by my Net Buddy.
    4. Be faithful in maintaining scheduled appointments with my Net Buddy.
    5. Abide by the guidelines set forth in the training for all my interactions with my Net Buddy.
    6. Not raise expectations and/or make promises that cannot be fulfilled.
    7. Honor all commitments made to Infinite Family and my Net Buddy.
    8. Complete follow‐up surveys and respond to correspondence in a timely manner.
    9. Attend additional trainings or meetings as they become necessary.
    10. Arrange any visits with my Net Buddy only with the direct cooperation of Infinite Family staff.
  3. By checking this box, I certify that I have reviewed these ethical guidelines and agree to act in accordance with them.
  4. I agree(*)
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  5. Date (Month/Date/Year, e.g. 01/20/1980)(*)
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  6.  
  1. Waiver
  2. I understand that I am a volunteer for Infinite Family. I attest that I am physically fit and prepared to volunteer. In consideration of my acceptance as a volunteer, I hereby agree to release, indemnify and hold harmless Infinite Family its agents, affiliates, and sponsors from any and all claims for any and all expenses, personal injury, loss or damages incurred or caused by me during or in connection with my volunteering. I grant full permission for organizers to use photographs, portraits, films and videos of me and quotations made by me in legitimate accounts and promotions of volunteerism and Infinite Family.
  3. By checking this box, I certify that I have reviewed these ethical guidelines and agree to abide by its dispositions.
  4. I agree(*)
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  5. Date (Month/Date/Year, e.g. 01/20/1980)(*)
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  6. Pledge of Confidentiality
  7. While I am volunteering my time with Infinite Family, I may learn certain facts about individuals being served that are of a highly personal and confidential nature. Examples of such information are medical condition and treatment, finances, living arrangements, employment, sexual orientation, relationships with family members and the like. I understand that all such information must be treated as completely confidential. I agree not to disclose any information of a personal and confidential nature to any person not also affiliated with Infinite Family and authorized by Infinite Family to have such information without the specific consent, in writing, of the individual to whom such information pertains.
  8. By checking this box, I certify that I have reviewed this pledge of confidentiality and agree to abide by its dispositions.
  9. Date (Month/Date/Year, e.g. 01/20/1980)(*)
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