Worthy Women Ministry
Mentee Application
Legal Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Cell Phone Carrier
*
Best Time to Call
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell us about your involvement with Worthy Women Ministry
*
Private Group Member
Diasozo House Resident
Other
In what ways would you be able to build a relationship with your mentor weekly? (please check all that apply)
*
Virtual Meetings/Facetime
Phone Calls
Text
In-person Meetings
Prayer
Bible Study
Accountability Partner
Briefly Describe Your Relationship With Jesus Christ:
*
What are your hobbies/interest:
Briefly describe anything you would like us to consider when pairing you with a mentor:
Thank You for your interest in being mentored through our ministry. A director will contact you soon!
Send
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