Mentor Application

Through life and career skills, CJC offers men and women the opportunity to reach their full potential.

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Complete application form in its entirety. For questions please contact cjcdirector@cwjc.net.

If you prefer you may download and print the application form. Please email completed forms to cjcdirector@cwjc.net or mail to:

Christian Job Corps
P.O. Box 525
Huntsville, AL 35804

Applicant Information

Applicant Name
Gender?
Birth Date
Address

Employment

Education

Church Membership

Emergency Contact Information

References

Please list three personal references who are not related to you.

Tell Us About Yourself

Tell us about any church or community activities you are involved in.
Current?
Current?
Current?
Current?

Additional Information

Will you commit to attend a Mentor Training session?
Do you give your permission for a background check to be run on you?

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