WOW Mentorship Intake Form

Consultation Intake Form
1 hr 30 min
$200 USD

Thank you for your interest in the WOW Mentorship program. This required 1:1 consultation is the first step in joining the WOW Mentorship Program. During this paid session, you will meet directly with Wife Coach Yvette Benton to to gain clarity, direction, and personalized insight and plan for your current season as a Wife of the word (or woman in preparation).

Your intake answers allow Coach Yvette to review your goals, challenges, and vision. Please answer honestly and thoughtfully.
- Name
  
  First NameLast Name
- Email
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Facebook Url
  On the Facebook mobile app (iPhone or Android)Open the Facebook app and log in.Tap your profile picture (Menu → your name).Tap the three dots (•••) next to “Edit profile.”Tap Copy profile link.That copied link is your Facebook URL.
- Name*
- Email*
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Relationship to Mentee
- Marital Status*
- YesNoSomewhat
- Briefly describe your current life season (e.g., family responsibilities, transitions, leadership roles, etc.).*
- What is your understanding of the Helpmeet role?*
- YesNo
- Are you a member of a local church? If so, please list below:*
- What areas of ministry if any do you feel God is calling you to serve in and grow in?*
  (Please be as specific as possible.)
- Describe your current ministry involvement. N/A if none*
  (Include church, para-church, nonprofit, business ministry, intercession, teaching, leadership, etc.)
- What spiritual and/or ministry gifts do you recognize operating in your life and how are you using them?*
  (Examples: intercession, teaching, leadership, prophecy, administration, evangelism, encouragement, wisdom, etc.)
- What is your current occupation or primary vocation?*
  (Include job title, business, or role.)
- What occupation, business, or marketplace role do you sense God may be calling you into (if different from your current role)?
- What correlation are you able to draw between your spiritual gifts and your current occupation or the occupation God is calling you to?
  (How do you see God integrating faith, gifting, and work?)
- What are your current goals as a helpmeet (or in preparation if you're not yet married)?*
  (Spiritual, emotional, relational, or purpose-driven goals.)
- What are your current goals for you ministry calling?*
- What are your current goals for your marketplace or professional life?*
- What are you hoping to receive or experience through the WOW Leadership Retreat?*
- What areas of personal, spiritual, and leadership growth are you currently pressing into?*
- YesNo
- If yes please elaborate, if no please explain*
- Ministry or Business Facebook Page (if none please put N/A):*
  .
- Instagram Handle or Link (if none please put N/A):*
  .
- Website Website (Ministry, Business, or Personal (if none, please put N/A):*
- For each, please describe the type and frequency of content you post.*
- Who do you consider your target audience?*
- SUBMISSION ACKNOWLEDGEMENT -By submitting this form, I understand that submission of this form and completion of the required consultation does not guarantee acceptance into the WOW Mentorship Program. I acknowledge that all consultation fees are non-refundable and that rescheduling requests must be submitted no less than twenty-four (24) hours prior to the scheduled appointment time to be considered. I understand that the information I provide will be used for assessment and program planning purposes and may be reviewed by the WOW Mentorship administrative team. I consent to this review and acknowledge that recommendations may be made based on the information submitted and my consultation session. By submitting this form, I confirm that I have read, understand, and agree to the terms outlined above.
  
  I acknowledge and agree
- Don't forget to schedule and pay for your session before you hit submit
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