Mentor Application Form

Name

Email

Phone*

Address

City

State/Province

Zip/Postal

Country

How Did You Hear about our Mentoring Program?*

What is Your Marital Status?*

What is your Gender?*

Male

Female

Please Select Your Age Group*

Please list the language(s) You Write Fluently*

COMMITMENT

Please answer the following questions regarding your commitment as a mentor

Are you willing to commit yourself to check your email daily?*

YES

We would not send you more than two questions a week, but they need be answered within 48 hours.

I will forward a Character Reference from my pastor/priest or other Christian Leader*

YES

Name of Person You will be asking to write your character reference:*

That person's email address:*

That person's phone number:*

What is your present church affiliation?*

What is the Name and City of Your Church?*

>> Statement of Faith

Do You have Questions about our Statement of Faith?

SPIRITUAL JOURNEY

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

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

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

YES

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

Do you struggle with addictions like alcohol, drugs or p***ography that may affect your ability to minister to other people? Please elaborate*

COMPATIBLE MATCH

The following questions will assist us in matching you up with a mentoree.

While experience in mentoring is not required, please tell us of any background you have in mentoring or teaching.*

Why would you like to be a mentor?*

What life experiences do you feel have prepared you to be a mentor?*