Women's Mentee Application

Women's Mentee Application
Your Name*

First NameLast Name
Preferred Email*
By providing my email address on this form, I give Church of the Rock permission to contact me by email. I understand that I can withdraw my consent at any time.
Preferred Phone Number*
Please enter a valid phone number.
CallText
Your Age*
Select Age
Marital Status*
Number of years married (if applicable)
Do you have children?*

YesNo
If yes, please list ages of children:*
What is your occupation, role or area of study? *
Do you have a church you go to consistently?*

YesNo
If so, where?*
(Church name)
Are there areas of ministry you are involved in?*

YesNo
If yes, in what capacity?*
What time of day works best for you to meet? (select all that apply)*

morningafternooneveningweekends
Please choose three areas of your life you would like to focus on in your journey with your mentor:*

AnxietyBiblical UnderstandingCallingEmotional ResilienceFinancial StewardshipForgivenessGriefIdentityInfertilityIntimacy with ChristMarriageParentingPrayerSexual ImmoralityShameSinglenessSocial JusticeSpiritual WarfareSufferingOther (please describe)
If you have committed your life to Christ, briefly describe when you made that decision and what led you to follow Him.*
Regarding your relationship with Christ, how would you describe the current season you’re in?*
Have you ever been a mentee or mentor in any situation before? Please share your experiences with us:*
Why would you like to be mentored this year?*
What are a few of your favourite pastimes and hobbies?*
Is there anything you can foresee that would interfere with your ability to participate in the mentorship program? Whether that be frequent travel, work, other ministry opportunities, etc.?*
Anything else you would like us to know? (Optional)
Should be Empty: