For Mentors

Blank downloadable forms

W9 Form

Background Check Consent Forms

Please fill out and return both forms.

NOTE:  Both forms must be printed out and hand signed.  Electronic signatures will be rejected.

Consent form for Background Check

Consent Release form for Predatory Offender Registry

Completed forms can be returned in the following ways:

Electronically

Mail a Hard Copy

Matt Jenson

Minnesota Association for Children's Mental Health

23 Empire Drive, Suite 1000

St. Paul, MN 55103

Leading with compassion, knowledge and support

23 Empire Drive, Suite 1000

St. Paul, MN 55103

651-644-7333
www.macmh.org

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Youth MOVE MN is a project of the Minnesota Association for Children's Mental Health and is a state chapter of Youth MOVE National.  This project is supported by a grant from Minnesota Systems of Care from the Department of Human Services.