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Mentor Application Form


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We appreciate you taking the time to complete this application form and look forward to interacting further with you.

Other Links:
Mentor Guidelines and Qualifications
Pastoral Reference Form
Statement of Faith

Because there are many internet users who want to lead people astray, we need a solid character reference before we can accept mentors.  We are sure you understand the neccessity of this.

To complete the application process, please have your pastor/priest or other Christian leader fill out the reference form.


Email Mentoring Application Form:  

Your Name:
*Your Email
*Confirm Email
Phone Number:
Mailing Address
Country
Marital Status
Female Male
How did you hear about the mentoring program?

Please select your age group

30-39
40-49
50-59
60-69
70+

 
Please answer these questions regarding your commitment as a mentor.
Are you

Are you

Your Pastor's name:
Your Pastor's email address:
Your Pastor's phone number:
What is your present Church affiliation?
What is the name of your current church?

Do you agree with our Statement of Faith?
YES
NO

In order to help others, your own spiritual growth and journey is very important. Please fill out these next questions with great care and consideration.

Briefly tell us how you came to Jesus as your Lord and Savior?

Do you use the Bible as your standard for life and read it regularly?

Describe your current devotional life.
What have you been studying?
What has God taught you this last month?

The following questions will assist us in matching you up with a mentoree.
Please select any of the situations below where you feel you could help others:

Abortion
Abuse: Emotional
Abuse: Physical
Abuse:
Addictions: Drugs and Alcohol
Addictions: ography or Issues
Adultery
Blended Family Issues
Chronic Illness or Pain
Dating/Single Life
Death and Grieving
Depression
Divorce
Eating Disorders

Infertility
Marriage
Parenting
Panic Disorders
Spiritual Growth
Other - please elaborate below

 



 


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