APPLICATION

Mentoring Program

Please answer all questions thoroughly, honestly, and to the best of your ability.

First name

Last name

Phone

Address

Birthday

Month

Day

Year

Name of Church

What has led you to want to apply for the Mentoring Program?

How do you plan to apply what you learn from the Mentoring Program?

Prayer Testimony (What are your beliefs and experience with prayer)

How did you hear about our Mentoring Program?

I agree that everything stated in the answers above is true to the best of my knowledge. I am aware that the Mentoring Program has a limited number per year available and I may or may not be accepted based on any reason deemed appropriate.

If accepted, I agree to hold to the guidelines of the program and plan to complete the program in its entirety.

Yes, I agree

No, I don't agree

Signature

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