Women's Mentorship Program Mentee Application

Please fill out this form and click submit.

Name

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Email

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This address will receive a confirmation email

Phone

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Address

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Age

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Birthdate

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Please select one of the following:

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Please select one option.

Single Engaged Married Divorced Widowed

Are you currently employed or in school? Please share a little about your work and whether it is full-time, part-time, working from home, outside the home, number of hours per week, etc.

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Are you a member of Westminster Presbyterian Church?

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Please select one option.

Yes No

Are you regularly attending Westminster Presbyterian Church for Sunday Worship?

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Please select one option.

Yes No

In addition to Sunday worship, are there other ways that you are involved in church life at WPC?

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Briefly describe how and when you came to personal faith in Jesus Christ?

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Check any areas in which you would like to be discipled.

Please select all that apply.

Spiritual Growth Balancing Family & Career Singleness Family Relationships Anxiety/Depression Miscarriage/loss of child Mental Health Issues Abusive Spouse Unbelieving Children Gender Identity Issues Aging Parents Loss of Spouse Other

If "Other" specify here

Are you willing to be mentored in a small group of ladies (up to 3 or 4)?

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Please select one option.

Yes No

Briefly describe your interests (what do you do in your free time)?

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Are there any specific restrictions to when you can meet with a mentor?

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Is there anything else that would be helpful for a mentor to know about you?

Description

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