For Mentors
Blank downloadable forms
W9 Form
Background Check Consent Forms
Please fill out and return both forms.
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NOTE: Both forms must be printed out and hand signed. Electronic signatures will be rejected.
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Consent form for Background Check
Consent Release form for Predatory Offender Registry
Completed forms can be returned in the following ways:
Electronically
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Email to
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Upload when you fill out the form below
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Mail a Hard Copy
Matt Jenson
Minnesota Association for Children's Mental Health
23 Empire Drive, Suite 1000
St. Paul, MN 55103