L1FE - to - L1FE Mentoring Intake Form
The purpose of the Mentoring Intake Form is to provide the Mentoring Ministry Leadership valuable information that will help properly pair Mentees with Mentors as well as create custom curriculum for each Mentee. All information provided on the intake form will be kept in confidence.
Please complete the fields below.
List all persons currently living in your house (include age, sex, and relationship to each)
Your Spiritual Maturity
Non-Believer from Christian Background
New Believer from Christian Background
Non-Believer from Non-Christian Background
New Believer from Non-Christian Background
Please help us understand the stressors/support you have in your life. (Check all that apply.)
no current financial problems
poverty or below-poverty income
relationship conflicts over finances
Social Support System:
close relationship with family/friends
distant from family of origin
no legal problems
now on parole/probation
Current Employment, how long?:
Please complete the following:
Please tell us why you are seeking to be mentored.
Is there anything else you would like to share with the Mentoring Leadership that will assist them as they prayerfully pair you with a mentor?
Do Not Fill This Out