Women's Mentee Application
Your Name
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First Name
Last Name
Preferred Email
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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.
Format: (000) 000-0000.
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Call
Text
Your Age
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Please Select
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75+
Select Age
Marital Status
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Please Select
single
married
divorced
widowed
separated
Number of years married (if applicable)
Do you have children?
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Yes
No
If yes, please list ages of children:
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What is your occupation, role or area of study?
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Do you have a church you go to consistently?
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Yes
No
If so, where?
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(Church name)
Are there areas of ministry you are involved in?
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Yes
No
If yes, in what capacity?
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What time of day works best for you to meet? (select all that apply)
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morning
afternoon
evening
weekends
Please choose three areas of your life you would like to focus on in your journey with your mentor:
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Anxiety
Biblical Understanding
Calling
Emotional Resilience
Financial Stewardship
Forgiveness
Grief
Identity
Infertility
Intimacy with Christ
Marriage
Parenting
Prayer
Sexual Immorality
Shame
Singleness
Social Justice
Spiritual Warfare
Suffering
Other (please describe)
If you have committed your life to Christ, briefly describe when you made that decision and what led you to follow Him.
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Regarding your relationship with Christ, how would you describe the current season you’re in?
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Have you ever been a mentee or mentor in any situation before? Please share your experiences with us:
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Why would you like to be mentored this year?
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What are a few of your favourite pastimes and hobbies?
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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.?
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Anything else you would like us to know? (Optional)
Submit
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