Diamond In The Rough CROWNS College & Career Coaching Application

Thank you for your interest in Diamond In The Rough. Please complete the application below and submit it for consideration.  Once submitted, our team will review your application and be in contact regarding the next steps. Please note, your information will be held in confidence. 

Contact Information

Are you willing to pay a $20 administrative fee to help offset the cost of a criminal background check & liability insurance? *


Areas of Speciality *
Other than a minor traffic violation, have you ever been arrested or convicted of any crime? *
Are you or have you ever been the subject of a child abuse or mistreatment case or been penalized for mistreatment of a child? *
Please indicate the number of girls you are willing to be matched with? * 🛈

Employment History

Employer 1
Employer 2


Reference 1
Reference 2
Reference 3

Emergency Contact

Interest & Experience

By submitting this application, I verify that all the information is accurate. I further, understand that as a part of the volunteer verification and matching process, additional personal information may be required of me including an interview with Diamond In The Rough professional staff. I certify that my statements in this application are true, complete and correct to the best of my knowledge. I hereby authorize Diamond In The Rough to contact the references listed and to conduct whatever investigation and background checks are necessary to determine if I will be a good fit for the organization. I understand that submitting this application does not guarantee my participation. I also hereby authorize Diamond In The Rough without limitation, to copy, publish, exhibit or distribute photographs or video tapes of my volunteer activities for the purpose of promoting volunteerism and support. I release and hold harmless from liability any person or organization that provides information. I also agree to hold harmless Diamond In The Rough and the officers, employees and volunteers thereof. *
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