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 home church?*

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:*
What are a few of your favourite pastimes and hobbies?*
Why would you like to be mentored this year?*
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: