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

• Email to

• 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