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Privacy: The Love No Ego Foundation fully protects your privacy and does not share any of your information with any other parties not approved by you. For full terms of service, please Privacy Policy and TOS at www.lovenoego.org (the footer). You can also request a copy by contacting us via email info@lovenoego.org .

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THE LOVE NO EGO FOUNDATION. ALL RIGHTS RESERVED. 2021

FORMS - Click your respective form from the list or scroll down the page to find your form. 

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1) LNE FDN Quarterly Feedback Survey

2) Service Agreement/Intake

3) Share Your Experience With LNE

4) Activity Waiver

5) Board, Independent Contractor, and Team Agreement Form

6) Mentee Exit Questionnaire 

LNE Foundation Quarterly Feedback Survey

Your feedback is crucial in helping us improve the Love No Ego Foundation’s "Courage to Be You" Mentoring Program. Thank you for participating!

Section 1: Parent/Guardian Feedback

Note: It is very important that parents/guardians complete their portion of the survey without the mentee present. This will ensure their own answers aren’t influenced by yours. Thank you!

Please Enter Your Personal Information Below

Program Evaluation Section

1. On a scale of 1-5, how would you rate the overall quality of the "Courage to Be You" Mentoring Program so far?
5 (Excellent)
4 (Very Good)
3 (Good)
2 (Fair)
1 (Poor)
2. On a scale of 1-5, how much do you feel your child's mental health has improved since joining our program?
5 (Significantly Improved)
4 (Improved)
3 (Somewhat Improved)
2 (No Change)
1 (Declined)
3. On a scale of 1-5, how much do you feel your child's ability to handle challenges and build resilience has improved?
5 (Significantly Improved)
4 (Improved)
3 (Somewhat Improved)
2 (No Change)
1 (Declined)
4. On a scale of 1-5, how would you rate your child's social interactions and emotional well-being since joining the program?
5 (Significantly Improved)
4 (Improved)
3 (Somewhat Improved)
2 (No Change)
1 (Declined)

Suggestions for Improvement

5. Which aspect of the program do you feel has been most beneficial to your child? (Select one)
Mentoring Sessions
Group Activities
Emotional Support
Goal Setting
Other (Please Specify Below)
Are there any areas where you feel the program could improve? (Select all that apply)
7. Would you recommend the "Courage to Be You" Mentoring Program to other parents who are looking for Youth Mentoring?
Yes
No

Section 2: Mentee Feedback

Note: It is very important that parents/guardians assist in answering questions while allowing the mentee to come up with answers on their own. This will give us the information necessary to make our program as impactful as possible. Thank you!

Please Enter Your Personal Information Below

How long have you been a part of the "Courage to Be You" Mentoring Program?
Less than 3 months
3-6 months
6-12 months
More than 12 months

Program Experience

1. On a scale of 1-5, how would you rate your experience with the "Courage to Be You" Mentoring Program so far?
5 (Excellent)
4 (Very Good)
3 (Good)
2 (Fair)
1 (Poor)
2. On a scale of 1-5, how much do you feel your confidence has improved since joining the program?
5 (Significantly Improved)
4 (Improved)
3 (Somewhat Improved)
2 (No Change)
1 (Declined)
3. On a scale of 1-5, how much do you feel your ability to handle difficult situations has improved?
5 (Significantly Improved)
4 (Improved)
3 (Somewhat Improved)
2 (No Change)
1 (Declined)
4. What have been your favorite parts of the program so far? (Select all that apply)

Suggestions for Improvement

5. Do you feel the mentoring sessions meet your needs?
Yes
No
6. What would you like to see more of in the program? (Select one)
More One-on-One Time
More Group Activities
New Topics/Skills
More Support Resources
No Changes Needed
Other (Please Specify)
7. Would you recommend the "Courage to Be You" Mentoring Program to a friend?
Yes
No

Thank You for Your Feedback! We wouldn't be able to serve the community without you.

Please consider donating to the LNE Mentoring Fund to help us grow!

Mentoring Fund Donation (Never Expected, Always Appreciated)
US$10
US$20
US$30
LNE Quarterly Feedback
Service Agreement Form

2) Service Agreement/Intake

  • The LoveNoEgo Foundation & Mr. Love...No Ego

  • If you need to make a payment after completing this Service Agreement, Donations/Payments are/can be made HERE, via invoice from us, or via check to Love No Ego Foundation, Inc. P.O. Box 7134- Charlottesville, VA. 22906. If there have been other payment arrangements made, proceed to complete this form.

3) Share Your LNE Experience

What is or was your role with LNE?
How long were you or have you been involved with LNE?

Thanks for submitting!

Share Your LNE Experiene
Waiver Form

4) Activity Waiver

LOVE NO EGO FOUNDATION, INC

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The Love No Ego Foundation always aims to protect, guide, care for, and positively and safely lead all participants who participate in our programs.

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I hereby state that I wish to participate in courses and/or activities offered by The Love No Ego Foundation, Inc.,  a non-profit corporation. I recognize any activity (indoor and or outdoor) may involve certain dangers, including but not limited to the hazards of physical activity, exercise, traveling in mountainous terrain, accidents or illness in remote places, forces of nature, and the actions of participants and other persons. I further understand and agree that without some program providing protection of its assets and its leaders, The Love No Ego Foundation, Inc., would not be able to offer its courses and activities.

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I understand that in this course or activity, I MAY BE PHOTOGRAPHED.  I agree to allow me and or my child’s/children’s photo to be used for any legitimate purpose by The Love No Ego Foundation, Inc.,. If you do not wish to be in any photograph/video simply let it be known by expressing it vocally to a team member. 

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In consideration of and as part payment for the right to participate in the activities offered by The Love No Ego Foundation, Inc., I agree to RELEASE, HOLD HARMLESS AND INDEMNIFY The Love No Ego Foundation, Inc., and its members from any and all liability, claims and causes of action arising out of or in any way connected with me and or my child’s/children’s participation, or the participation of any minor that I am signing on behalf of, in any activities offered by The Love No Ego Foundation, Inc. This includes but is not limited to all liability claims and causes of action in any way connected to property owned or leased by The Love No Ego Foundation, Inc., or the actions or inactions of any The Love No Ego Foundation, Inc., employees, members, agents, and or volunteers.

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I personally assume all risks in connection with these activities. If I am signing on behalf of a minor, I further agree to HOLD HARMLESS AND INDEMNIFY The Love No Ego Foundation, Inc., and its members from all liability, claims and causes of action which the minor may have arising from the minor’s participation in activities. Again, The Love No Ego Foundation always aims to protect, guide, care for, and positively lead all participants who participate in our programs. The terms of this agreement shall serve as a release and indemnity agreement for my heirs, personal representatives, and for all members of my family, including any minors. 

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THIS IS YOUR AGREEMENT. I have read this release and indemnity agreement and have fully informed myself of its contents before I have either signed and or agreed to it.

Choose program(s) and or event(s) you/your child are participating
Board/IC/Team Application Form

5) Board/IC/Team Application

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RE: Board, Independent Contractor, and Team Agreement Form

Please take your time to read and complete the form in its entirety. Thank You! 

 

This document is not intended to be a legally binding contract between us and it may be canceled at any time by either us or you.

 

What you can expect: The Love No Ego Foundation values its team members, and we will endeavor to provide you with:

 

  • Written position description so you understand your role and the tasks you are authorized to perform

  • A full induction, hands-on orientation and any training necessary for the role

  • A safe environment in which to perform your role

  • Respect for your privacy, including keeping your private information confidential

  • A director/supervisor, so that you have the opportunity to ask questions and get feedback

  • Reimbursement for your reasonable expenses

  • Insurance to cover you for the purposeful acts you are authorized to perform

 

What the Love No Ego Foundation asks of You?

ETHICS. We ask that you:

  • Support the Love No Ego Foundation and its mission, principles, and vision.

  • Participate in all relevant induction and training programs.

  • Only undertake duties you are authorized to perform and always operate under the direction and supervision of nominated staff and obey reasonable directions and instructions.

  • Understand and comply with the foundation’s policies and procedures including policies, for example, equal opportunity, health and safety, privacy, and confidentiality policies. A full copy of the Foundation’s policies and procedures is available at www.lovenoego.org (located in the footer of every page).

  • Notify your director/supervisor or another team member of any health and safety issues or potentially hazardous situations that may pose a risk to you or others, and report any accidents or incidents relating to team members.

  • Behave appropriately and courteously to all team members and the public in the course of your role

  • Use any property or equipment given to you in your role safely and only for purpose of the role and return it to the foundation when you finish your role.

  • Let us know if you wish to change the nature of your contribution (e.g. hours, role) to the Love No Ego Foundation at any time

  • Comply with the law at all times, and be open and honest in your dealings with us and let us know if we can improve our program and the support that you receive.

 

Contact Person(s):

Your contact person at the Love No Ego Foundation will be provided to you. If you have any questions or concerns about your role, your health, and safety, or if there is any assistance you need to help you undertake your role, please contact him or her.

 

Role description and details include, but not limited to:

Your role description and purposeful acts have been provided to you by this point. You also have your LNE Handbook to reference for more organizational info. It is therefore important that you only perform the tasks in the role description and as instructed by the foundation. To be covered by our policies, procedures, and insurance, it is also important that you are not affected by drugs or alcohol when performing.

 

Health and safety:

Your safety is a priority. We always need to consider worker health and safety issues. If there is ever any reason during your purposeful work that you do not feel safe, please remove yourself from the unsafe situation immediately. The Love No Ego Foundation has a duty of care to minimize risks to everyone affected by its conduct (including paid staff, interns, and volunteers).

It also means that as a volunteer,

  • take reasonable care for the health and safety of others,

  • comply with any reasonable instruction by the Love No Ego Foundation,

  • let us know of any concerns you may have about safety and/or fitness in undertaking your role and to cooperate with any reasonable policies and procedures of the foundation.

Please do not hesitate to talk to your coordination or director at any time if you have any health and safety concerns.

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Expenses and other benefits as a volunteer: 

The Love No Ego Foundation will provide you with reimbursement for any reasonable out-of-pocket expenses that you incur when performing authorized tasks associated with your role. We do this to ensure that you are not financially disadvantaged as a result of your position with us. These payments are not remuneration or wages. You might need prior approval and will always need to produce receipts. We may sometimes provide you with other benefits as part of your volunteering role (examples include training, free food, accommodation, event entry, clothing or equipment). Where this occurs, it is on a gratuitous basis at the discretion of the Love No Ego Foundation and is not a payment in lieu of salary.

 

Insurance:

We are committed to providing adequate insurance cover for team members while carrying out their purposeful acts that have been approved and authorized by us. Please let us know of any concerns and occurrences at your earliest and most immediate convenience that occurs during your time with us.

Upload Resume/Bio
Mentee Exit Questionnaire
6) Mentee Exit Questionnaire
Congratulations! Although you are exiting LNE, it's still a time to celebrate and support you in your next chapter! We are beyond proud of you! Let's keep growing! Please complete this questionnaire honestly.
How long have you been in the LNE Mentoring Program?
How often did you use LNE Mentoring? Choose best answer.
How satisfied are you with receiving LNE Mentoring?
Very dissatisfiedA bit dissatisfiedPretty satisfiedSatisfiedVery satisfied
Do you plan to give back to this program by volunteering some time, at least once per quarter (4 times a year if/when feasible), by leading a workshop fitting to your strengths, interests, and goals, or by participating in LNE Workshops, projects, and or outings?
Upload File (Video Only)
Upload File (Audio Only)
Do you mind if we share your responses (not necessarily your name) with our partners and donors? This helps us to show our impact and gain further support. If under 18, before answering yes, you agree that you have parents' consent to do so. Thank You.

Thanks for sharing! We Love You!

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