YES GROUP APPLICATION AGREEMENT
NAME:_________________________

This Application Agreement must be signed by all adults who will participate in the YES Group before the application can be
considered by the Foundation. All adults must fill out and sign a separate agreement and each agreement must be attached to
application before the Foundation will consider the application. The undersigned expressly agrees that if the application is
approved applicant herewith agrees to mentor a YES Group and will begin immediately to work with their church or their school to
get the group sponsored. Processing of application shall be as timely as possible and the results may be delivered via telephone,
fax or mail. IDENTIFICATION CARD(S), SOCIAL SECURITY CARD(S), LATEST PAY CHECK STUB(S) AND LAST YEAR’S W-2(s) OR
COPY OF LAST YEARS INCOME TAX RETURN ARE ATTACHED TO THE APPLICATION 0, OR WILL BE PROVIDED 0. I (we) declare
that the application is complete, true and correct and I (we) herewith give my (our) permission for anyone contacted to release
the credit or personal information of the undersigned applicant(s) to the Foundation or their authorized agents, at any time, for
the purposes of entering into and continuing to be a part of the YES Groups and the G. D. Sanford Foundation.
I (we) further authorize Management or their Authorized Agents to verify the application information including but not limited to
obtaining criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or
not, at the time of the application and at any time in the future, with regard to any agreement entered into with the Foundation.
Any false information will constitute grounds for rejection of this application, or the Foundation may at any time immediately
terminate any agreement entered into in reliance upon misinformation given on the application.
I/We have been provided a copy of this Application Receipt and herewith agree to the terms stated herein. Acceptance of
application is not binding upon the Foundation until application is approved by the Foundation.

Full Name: ________________________________ Social Security Number: _________-______-___________

Present Address: _______________________________________________________

City: ___________________ State: __________ Zip: ______

Applicant Signature: _________________________________________________________________ Date: _____________

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Full Name: __________________________________ Social Security Number: _________-______-___________

Present Address: _________________________________________________

City: _________________________ State: __________ Zip: ________

Applicant Signature: _________________________________________________________________ Date: _____________

——————— Do Not Write Below This Line – To Be Filled Out By Management ———————–

Application received and all accompanying documents have been received.
Application is_____/is not accepted________.

_____________________________________, As Agent for ________________________ Date: __________________