Mentoring 101 Student
Hello student! We are so excited you want to have a mentor! Mentors can turn into life-long relationships if we put good time and energy in. They can be a place to bounce ideas off of, grow with, work through struggles with, celebrate accomplishments with, and be someone we can confide in.

Please fill out the following form so we can help you and your mentor get started!
------------------------------------
What is Mentoring 101?
A place for middle school and high school aged students seeking to deepen their relationship with Jesus to grow through a 1 on 1 mentoring experience by having a same gender, adult mentor.

What am I committing to?
- A desire to deepen my personal relationship with Jesus Christ: living by faith and pursuing spiritual growth daily, loving others and serving humbly
- A mentoring relationship that provides opportunities for spiritual growth, encouragement, and accountability.
- A year-long commitment to mentoring where I meet once per month with my mentor and keep in touch in between. Both the mentee and the mentor are accountable to each other to schedule these meet ups.

Name (First and Last) *
Your answer
Date *
MM
/
DD
/
YYYY
Address (Street, City, Zip Code) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Parent's Information
Mother's Name (First and Last)
Your answer
Mother's Phone Number
Your answer
Mother's Email Address
Your answer
Father's Name (First and Last)
Your answer
Father's Phone Number
Your answer
Father's Email Address
Your answer
Why do you want to have an adult mentor? *
Your answer
Is there someone you have in mind that you would like to mentor you?
Your answer
Do you have any questions about having a mentor?
Your answer
As part of Mentoring 101, you are committing to:
- Commit to a mentoring relationship for one full year.
- Stays true to the vision, values, and virtues of Hope’s Youth Ministry and to the vision statement of Mentoring 101.
- Meet with Mentoring 101 mentor at lease one time per month in person.
- Utilize resources provided by Mentoring 101 program to assist in your personal and spiritual growth.
- Stay in regular communication with your mentor.
- Communicates openly and as needed with Mentoring 101 program Coordinator.
Do you feel you can agree to the above commitment? *
Thank you for filling out this form! Please enter your name below to sign this form. You will be contacted by the Mentoring 101 Coordinator about getting connected to a mentor soon! *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service