Parts I and II of Form 641 is are required to be completed and signed by your client at the start of each new mentoring relationship.

  • To download the form, click on the button above to download and store in your Download folder on your PC.
  • To complete a hard copy of  Form 641 (without on-line sign up), open the downloaded form, Print the form then ask your client to complete Parts I and II and sign the paper Form 641. Make 2 copies of the completed and signed form 641 - original for SCORE office records amd a copy for your client.
  • To complete online, open the downloaded Form 641, click on Tools and select Fill & Sign from right menu. Insert your cursor at the start of the Client Name field and start to type.  Move from field to field with your Tab key. Use the File, Save As to save your filled form under a new name.  Open the new, filled-out form and Print. Make 1 copy of the completed and signed Form 641 - original for SCORE office records and a copy for your client.