GLU Mentorship Partnership Program Questionnaire

GLU Mentorship Partnership Program Questionnaire
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
HomeWorkCell
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Job Title/Description
Career/Ministry Goal(s)
Interests/Hobbies *
Local Association
Personal Goal(s) *
YesNoOther
YesNo
If "Yes" was it a positive experience? Explain why?
Preferred Mentor/Mentee Communication #1 *
Preferred Mentor/Mentee Communication #2 *
Preferred Mentor/Mentee Communication #3*
Preferred Mentor/Mentee Communication #4*
Preferred Day of the Week of Communication #1 *
Preferred Day of the Week of Communication #2*
Preferred Day of the Week of Communication #3*
As GLU mentee, your mentorship sessions will be held 2x a month. Your follow up appointments will be scheduled after your initial session. All mentees are asked to sow a $100.00 monthly donation.
Should be Empty: