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Men's Mentee Application
Your name
*
Last name
Email address
*
Phone number
*
Phone type
Mobile
Home
Work
Other
Birthdate
*
Date
Primary campus
*
Select…
Boulder
Erie
Thornton
What city do you reside in?
*
Marital status
*
Select…
Single
Married
Widowed
What do you do for work and in what city?
*
Work Experience
*
Referred by:
How often could you meet with someone each month?
*
Describe your family situation:
*
How flexible is your schedule?
*
How long have you followed Jesus?
*
How long have you been involved at Calvary?
*
How have you been involved at Calvary?
*
How did you become a Christian?
*
Do you agree with Calvary's Statement of Faith?
*
Select…
Yes
No
Describe your spiritual life currently:
*
Have you ever mentored someone before?
*
Select…
Yes
No
Have you ever been mentored before?
*
Select…
Yes
No
Please describe your experience with mentorship:
*
Areas of Desired Growth
Areas of Desired Growth (opportunity to identify the areas you would like some input in)
Please rate yourself using the scale below on areas where you would believe that mentoring could assist you the most.
(1) Not Interested in this (I think this is an area I’m confident in or not needing now)
(2) Fairly Interested (I could grow here, but not really why I want a mentor)
(3) Sounds Good (This wasn’t my initial idea, but thinking about it, sure this would help)
(4) Very Interested (I know I could use some “sage” input in this area)
(5) Absolutely! (When I thought of being mentored, this was an idea that came to me!)
Career Advancement
*
Select…
1
2
3
4
5
Balancing Priorities
*
Select…
1
2
3
4
5
Bouncing Back from Failure
*
Select…
1
2
3
4
5
Changing Careers
*
Select…
1
2
3
4
5
Coaching
*
Select…
1
2
3
4
5
Effective Communication
*
Select…
1
2
3
4
5
Dealing with Difficult People
*
Select…
1
2
3
4
5
Developing Policy
*
Select…
1
2
3
4
5
Providing Corrective Feedback
*
Select…
1
2
3
4
5
Retail Business
*
Select…
1
2
3
4
5
Service Business
*
Select…
1
2
3
4
5
Increasing Intimacy with God
*
Select…
1
2
3
4
5
Public Speaking
*
Select…
1
2
3
4
5
Managing Projects
*
Select…
1
2
3
4
5
Answering Faith Related Questions
*
Select…
1
2
3
4
5
Moral Issues
*
Select…
1
2
3
4
5
Motivating People
*
Select…
1
2
3
4
5
Time Management
*
Select…
1
2
3
4
5
Parenting
*
Select…
1
2
3
4
5
Resolving Conflict
*
Select…
1
2
3
4
5
Recruiting/Hiring
*
Select…
1
2
3
4
5
Team Building
*
Select…
1
2
3
4
5
Vision Development
*
Select…
1
2
3
4
5
Business Planning
*
Select…
1
2
3
4
5
Financial Planning
*
Select…
1
2
3
4
5
Taking Risks
*
Select…
1
2
3
4
5
Emotional/Mental Health Issues (Depression, Guilt, etc)
*
Select…
1
2
3
4
5
Technical Expertise
*
Select…
1
2
3
4
5
IT (Computer, Web Design, Software, etc)
*
Select…
1
2
3
4
5
Handyman Skills
*
Select…
1
2
3
4
5
Training in Basic Ministry
*
Select…
1
2
3
4
5
Spiritual Discipline
*
Select…
1
2
3
4
5
Marital Issues
*
Select…
1
2
3
4
5
What area(s) of growth (whether listed above or not) are you most interested in growing?
*
How would you like to grow in the following areas of your life?
Family
*
Work
*
Community
*
Faith
*
Additional Information
Do you have any special interests or hobbies that might be of interest to a Mentor?
Any additional comments or information that you would like to add?
Are you currently involved in a Life Group, Bible Study, or Men's Group?
*
Select…
Yes
No
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