Women's Mentee Survey

Name *

First Name Last Name

Cell Phone *

Area Code Phone Number

Email *

example@example.com

Age *

Please check all that apply *

Married Single Children No children Working outside the home Stay at home mom Not employed Retired

What are your expectations? *

What does a mentor relationship look like to you? *

Is there a specific topic or life experience you want to address with a mentor? *

Is there something in particular that you struggle with? *

Are you willing to meet at least twice a month for at least 9 months with a mentor? *

Do you have any fears or concerns about being mentored? *

Do you feel comfortable with the CBF Mentoring Leadership Team prayerfully choosing a mentor for you? *

Is there anyone you currently know at CBF that you might be interested in having as your mentor? *

If you have any schedule preferences or constraints that you'd like us to consider when pairing you with a mentee, please describe below. *

Do you have any other questions or comments you'd like to share with the leadership team?

Enter the message as it's shown *