Mentee Application Form

First name

Last name

Phone

Age

Why would you like to have a mentor?

Have you had a mentor before? If yes, did you benefit from it?

In what areas are you looking for support from a mentor?

Describe yourself in 3 words

Write a brief summary of your salvation story

What day and time is best to connect?

Are you serving/ connected in a local church?

Additional information you would like to share about yourself

Agreement: I willingly commit to fully participating in the mentorship program to the best of my ability. I consent to receive prayer and spiritual guidance as part of the mentor-mentee relationship. I understand that this guidance is offered in good faith, and I release Tammy Isaacs from any liability or responsibility for any perceived harm resulting from my participation.

I Agree

Mentee Signature (Please print)

Date