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Mentor Training Application Form Home > Departments > Jacksonville Children's Commission > Training

Jacksonville Children's Commission
Mentor Training Application

Thank you for your interest in mentoring! We applaud your commitment to make a difference in the life of a young person. The Jacksonville Children’s Commission is equally committed to support you and make your mentoring experience meaningful and lasting.
Please complete the registration form and choose the Mentor Training date and time that suits your schedule. A member of our staff will contact you soon to confirm your place in the class.

Please note that fields marked by an asterisk (*) are required.

Title

*First Name:

*Last Name

*Address:

*City:

*State

*ZIP Code:

*Employer:

Home Phone:

Work Phone: ext

Fax:

E-mail address:

Training Date:
(You may select only one)
Wednesday, Sept. 10, 5:30 p.m. - 8:30 p.m.
Saturday, Sept. 13, 9 a.m. - noon
Wednesday, Sept. 17, 5:30 p.m. - 8:30 p.m.
Thursday, Sept. 25, 5:30 p.m. 8:30 p.m.
Saturday, Sept. 27, 9 a.m. - noon
Tuesday, Sept. 30, 5:30 p.m. 8:30 p.m.

Please provide any other other information you wish:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing. - - - - - - -
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Jacksonville Children's Commission Mentor Training Application Thank you for your interest in mentoring! We applaud your commitment to make a difference in the life of a young person. The Jacksonville Children’s Commission is equally committed to support you and make your mentoring experience meaningful and lasting. Please complete the registration form and choose the Mentor Training date and time that suits your schedule. A member of our staff will contact you soon to confirm your place in the class. Please note that fields marked by an asterisk (*) are required.
Title
*First Name:
*Last Name
*Address:
*City:
*State
*ZIP Code:
*Employer:
Home Phone:
Work Phone:	ext
Fax:
E-mail address:

Training Date: (You may select only one)	Wednesday, Sept. 10, 5:30 p.m. - 8:30 p.m. Saturday, Sept. 13, 9 a.m. - noon Wednesday, Sept. 17, 5:30 p.m. - 8:30 p.m. Thursday, Sept. 25, 5:30 p.m. 8:30 p.m. Saturday, Sept. 27, 9 a.m. - noon Tuesday, Sept. 30, 5:30 p.m. 8:30 p.m.
Please provide any other other information you wish: