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Mentor/Prayer Warrior Application
I am interested in being...
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Name
Preferred Name (If other than First Name)
Address
Phone
Email
My contact preference is (Check all that apply):
In Person
Email
Phone
Text
My Age Range
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What age range do you best connect with? (Check all that apply)
16-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
Marital Status
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Spouse's Name, if married
Household Type
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And for how long?
Number of Children
Number of Grandchildren
Are you a church member?
Yes
No
Do you attend church regularly?
Yes
No
At Parkside
Another Church
How would you rate your Bible knowledge?
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Do you have a favorite Bible verse? If yes, add here:
Do you work outside the home?
Yes
No
What is/was your occupation?
How long?
What are your hobbies/interests?
Have you ever been a mentor/mentee/prayer warrior before?
Yes
No
If so, when?
If you are the mentor, how has God worked in your life that would be beneficial to share with a mentee?
If you are the prayer warrior, how do you believe prayer will make a difference in the mentor/mentee relationship?
Additional Comments
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Thank you! We’ll be in touch.
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