TNT Mentorship Form

TNT Mentorship Application

The following questions relate to your inquiry about using our services and will take less than 10 minutes to complete. Please ensure you complete all the fields marked with an asterisk *.

All information is held in strictest confidence. No information is disclosed or shared without your written consent. You may choose to skip answering any question you feel impinges on personal information you do not wish to disclose other than the fields marked with an asterisk *.
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Post Code
Birth Date*

DayMonthYear
Mobile Phone Number*
E-mail*
example@example.com
Can you pass a drug test? *

YesNo
Please Select All That Apply- Employment

UnemployedEmployed Full-TimeEmployed Part-TimeLooking for EmploymentLooking to Get Involved in Construction TradeOther
If you are interested in obtaining a skilled trade and tradesman license, what industry would you be interested in?

PlumbingElectricalHVACOther
Please Select All That Apply-Housing & Funds

Fully Homeless (sleeping in shelter or on the streets)Need Help Finding ResidenceNeed Help Maintaining Residence & BillsOther
Please Select All That Apply- Sobriety

Need assistance with an addiction (ie drugs, alcohol, pornography...etc.)Other
Please Select All That Apply- Health

Need help with an illness or obtaining medical careNeed help with developing good habits (ie sleeping and eating well, and exercising)
Please Select All That Apply- Spiritual

Need encouragement and mentorshipNeed a support groupNeed a life planNeed a church home
Do you have a church home? If so, where? *
What Goals Do You Have for Yourself?*
(Choose all that apply.)*

SingleMarriedHave ChildrenNo Children
How did you hear about us?*
If you were referred, who can we thank for referring you?
Full name please
5. Best time to call for a consultation:*

MorningAfternoonEveningOther
Tell Me About You!

Please let us know anything relevant to you and your situation! The more we know, the more we can provided a tailored path to your success!
Are you willing to accept mentorship and counseling, and to make whatever adjustments to your life and schedule are needed for your ultimate and total success?*

YesNo
If you agree with everything on this document and want to join TNT please sign your name here. All documents are confidential and not shared with anyone outside the TNT Team. TNT membership is voluntary, and you may terminate it at any time with email or written correspondence. *

Clear
Sign by using a touch tablet/screen or left click and hold as you sign with your mouse.
Type a question
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