Flourish Mentor Application
First Baptist Church of Palmetto
I'm Interest in Becoming:
Please Select
A Mentor
A Host Home
A Mentor & A Host Home
I'm available:
Please Select
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
Sunday PM
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is the best time to reach you?
*
What is your contact preference?
*
Please Select
EMail
Text
Phone Call
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Marital Status
*
Please Select
Single
Married
Divorced
Widowed
Separated
If married, how many years?
What is your occupation? (If a student, what is your major?)
Do you have children?
*
Yes
No
If you have children, please list their names and ages:
How long have you attended FBC Palmetto?
*
If you have attended another church in the past five years, what church and how long did you attend?
Have you completed the membership class at FBC Palmetto? Or are you registered for the next class?
*
I've completed the membership class
I'm registered for the next class
I'd like to know more about this class
I have not taken the class
What areas are you currently serving in at FBC Palmetto?
*
Describe how and when you began to follow Jesus:
*
How do you pursue time with Jesus? Prayer? Studying the Word?
*
List things you are passionate about (hobbies, pass-times, interests, etc.):
*
What does a mentoring relationship look like to you?
*
Have you mentored someone before? If yes, for how long?
*
What excites you about investing in the lives of other women?
*
Why do you feel you'd be a good mentor?
*
If you become a mentor, how many mentees do you feel capable to mentor at one given time?
*
Please Select
1
2
3
4
What stage of life do you feel you could serve best? (singles, married, moms, career women, etc.)
*
How much time do you have to devote to mentoring?
*
If married, is your husband aware/supportive of this commitment? If not married, are you currently in a relationship? If so, is he supportive?
*
Is there anything in your life that might hinder you from being an effective mentor (time, career, travel, family concerns, etc.)? If yes, what?
*
If I were to mention your name to a group of your friends, what would they say you were really interested in or passionate about?
*
What conversation would keep you talking late into the night?
*
If you know your spiritual gifts, please list them:
*
Please provide the name of a staff member or volunteer and their contact information for a reference:
*
Thank you for submitting a mentor application!
We will contact you soon for a follow up conversation. Please note: Completion of this application does not guarantee participation in the Flourish Mentor Program. We may feel your talents and abilities would better serve in a different role or as part of another team. We are grateful for your willingness to serve God and are excited to see how He will use you in the near future.
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