Mentor Application
Please fill out this application to the best of your ability. Please note that this application must be completed for you to be eligible for being a mentor in the Doxazo Discipleship Institute. Once your application has been processed, you will be contacted about availability for an in-person interview with Ryan Wynne and Abbie Stuart. Please contact Abbie at astuart@trmonline.org with any questions.
First and Last Name: *
Your answer
Email: *
Your answer
Phone number: *
Your answer
Address: *
Your answer
Church: *
Your answer
Age & Birthday: *
Your answer
Gender *
Current Occupation: *
If you are retired, between occupations, or unemployed, please put your most recent or your next occupation in the box below.
Your answer
Current Education *
If you are currently attending school, please list the name of your school, intended major/minor, and estimated graduation date. If you are not currently attending school, please put NA in the box.
Your answer
Family Information: *
If applicable, please include the names of your spouse and children.
Your answer
Emergency Contact: *
Please list the name and phone number of a person Doxazo, the Topeka Rescue Mission, your mentee, emergency personal, or another relevant party can call in case of an emergency.
Your answer
Reference #1 - Pastoral Staff Reference: *
Please list the name, email address, phone number, and capacity in which you know a member of a pastoral staff, including, but not limited to the senior pastor, elder board, youth pastor, worship pastor, or outreach pastor of your church.
Your answer
Reference #2 - Non-Familial Reference: *
Please list the name, email address, phone number, and capacity in which you know the person you are listing as a reference.
Your answer
Please share your testimony: *
Please try to keep it too 200-500 words.
Your answer
Please share an experience where you have shared your faith with a non-believer. *
Please note that this does not have to be an experience where the person made a decision for Christ. If you have not shared your faith with a non-believer, please put NA in the box.
Your answer
Please share any past experiences you have had discipling others: *
If you have never discipled another person, please share an experience where you were discipled. If you have never been discipled, please put NA in the box.
Your answer
Why do you want to be a mentor in Doxazo Discipleship Institute? *
Your answer
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