Living Waters Mentorship Application
Full Name
First Name
Last Name
Age
Phone Number
-
Area Code
Phone Number
E-mail
Which location do you attend?
Fort Langley
Willoughby
Could you briefly share about your relationship with Jesus?
Could you describe your personality?
Why are you interested in a mentoring relationship? Have you ever been in one before? If yes, describe.
What are your areas of interest?
Divorce Care
Grief Care
Freedom from Addictions
Marriage and Family
Missions/Global Work
Prayer
Relationships
Sexuality
Single Parenting
Time Management
Work/Career Guidance
What would be your top THREE areas of need/challenge?
What qualities are you looking for in a mentor?
List 5 words/phrases that would typify a 'good' mentoring relationship to you?
Do you have a preference of age in a mentor? If so, please choose an age range.
20-25
25-35
35-45
45+
Typically you would meet with a mentor every 2 weeks. Does this work for you?
Yes
No
What are your goals for being in a mentoring relationship?
Do you have any questions/concerns about being in a mentoring relationship?
Thank you for taking the step to receive a mentor. We are delighted to walk this journey with you!
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