Mentorship Matters Program
Fall Term 2025 | September 8 – November 24, 2025
Personal Information
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Gender
Please Select
Male
Female
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Church Affiliation/Membership
The Ministry You Attend On A Consistent Basis
Church Name
Pastor's Name
Church Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Phone
-
Area Code
Phone Number
Current Ministry Involvement
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Education/Ministry Background
Highest Level of Education Completed
Please Select
High School
Some College
College Graduate
Graduate Studies
Other
Have you completed prior ministry training?
YES
NO
If yes, please explain.
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More About You...
Please answer the following questions to the best of your ability.
Describe your salvation experience.
What do you believe is your call to ministry?
Why do you desire to participate in this mentorship program?
What do you hope to gain spiritually and practically from this experience?
List two personal strengths and two areas for growth in your spiritual walk.
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Mentorship Covenant Commitment
I understand that participation in the Mentorship Matters Program requires dedication, faithfulness, and accountability. I commit to attending all sessions, completing all assignments, and honoring the authority and leadership of my mentors. I will uphold the integrity of this program and seek to glorify God in all I do.
☑ If you agree to the Mentorship Covenant Commitment, confirm by checking the box, sign, date and proceed to the next page.
Signature
*
Date
-
Month
-
Day
Year
Date
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