HCC Mentee Application

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We are encouraged by your interest in growth through intentional mentorship! Please take a few minutes to complete the application below. Once completed, you will be contacted by our facilitator to schedule an interview.

Email *

Name *

Phone Number *

Which type of pairing would you be applying for? *

I have already identified my mentor and am applying with a pre-selected person (please share their name in the comments below)

I am interested in being matched with a mentor by the HCC facilitator

Required

Please share a little about your faith journey. How did you come to know Christ (if applicable) and how would you describe your walk with Him? *

What led to your interest in connecting with a mentor? *

What are you hoping to learn or gain by participating in this mentorship program? *

Are you willing to commit to all of of following? *

Please confirm your commitment by checking the boxes.

Comitment to Christ as Savior, Holy Spirit as active, and the Bible as word of God.

12 week commitment to the mentorship program

Meeting one time a week with your mentor for an hour

Volunteering at least once with your mentor

Attending the Heartland Mentorship Kick-off and Celebration

Completed requirements of the program (regular communication, mid-program check-in with the facilitator, end of program celebration event)

Required

Please share any other considerations of which we should be aware. *

Comments: *

Send me a copy of my responses.

Submit

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