Christian Mentor Form

Christian Mentor

Members of the church community have the opportunity to mentor individuals in need through the Uplift Clearinghouse. All mentors are required to complete a screening and training process prior to meeting with clients.
Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
When is the best time to contact you?*

MorningDaytimeEvenings

General Availability (This helps us determine when to schedule training, appointments, etc.)*

Which of the following mentorship areas interest you?*

Budgeting (Helping someone build and manage a budget)Career (Helping someone find and acquire a job)Discipleship (Mentoring seekers or new believers in the faith)Housing (Helping someone find housing)Life/Relationships (Helping someone through a tough season/support)Resource Acquisition (Best for those with social service experience)
What is your understanding of the Gospel of Jesus Christ?*
What is your understanding of salvation?*
Home Church*
If you do not have a home church, please enter "none"
Why do you think you would be a good Christian mentor to someone in need?*
Reference

Please enter a reference below
Reference*

First NameLast Name
Reference Contact*

Area CodePhone Number
How do you know this reference?*
Office Use Only
Volunteer has completed screening

Yes
Volunteer has completed training

Yes
Volunteer has signed confidentiality documentation

Yes
Should be Empty:

Christian Mentor