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Apply To Become a Mentor

Please fill out the following forms and send them back to Child Safe Michigan.

Child Safe Mentor Application

Driving Record Authorization Form

Consent for Electronic Communication

HIPPA

Central Registry Clearance Request

What is a Mentor (Please Sign)

Photo Authorization

Background Release Authorzation

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CHILD SAFE MICHIGAN

4410 W. 13 Mile Rd. Royal Oak MI 48073
(248) 353-0921

Power Outage at Royal Oak Campus

Due to a power outage at our Royal Oak campus, the entire campus will be closed for in-person services today, Feb. 24.
All services will be conducted virtually.
Please confirm your appointments with your program team. Check back in the morning regarding plans for services on Friday.
Thank you and be safe.