Mentee Application and Interest Form
Please fill out this application to the best of your ability in order for us to determine the best match for you. Please note that this is not a guarantee of a match, but it will be used in matching up mentors and mentees. Once your application has been processed, you will be contacted about eligibility to be a mentee and, if applicable, who you are matched with. Please contact Abbie Stuart at astuart@trmonline.org or 785-354-1744, ext. 348 with any questions.
First and Last Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Age & Birthday: *
Your answer
Church: *
Your answer
Current Occupation: *
If you are between occupations or unemployed, please put your most recent or your next occupation in the box below. If you are a student, please put "Student" as well as any other job(s) you may have.
Your answer
Please indicate your average availability to meet with your mentor: *
Please note that, while Doxazo has no requirements regarding the length of the meeting, most meetings will take about an hour.
Required
Please indicate any times you are available to meet with your mentor: *
Please select all that apply. Please note that, if your mentor is working, they may only be available to meet early in the morning (before 8 a.m.), over lunch, in the evening, or on the weekends.
Required
Please share a brief biography: *
Please include things such as hometown, family make-up, important events, jobs, sports, hobbies, etc. Please include as many details as you are comfortable sharing in order for us to get the most accurate match possible.
Your answer
Please share your testimony: *
Please include as much detail as you are comfortable sharing in order for us to get the most accurate match possible.
Your answer
Please share what Jesus has been teaching you lately: *
Please include as much detail as you are comfortable sharing in order for us to get the most accurate match possible.
Your answer
Please share any past experience you've had with being mentored: *
If you have never had any sort of mentoring experience, please put NA in the box.
Your answer
Why do you want a mentor? *
Your answer
How did you hear about being mentored through Doxazo? *
I am considering or currently working in the following fields: *
Please select all that apply.
Required
My top three spiritual gifts are: *
If you are unsure of your spiritual gifts, you can take this quiz to get an indication of your spiritual gifts: http://bit.ly/2tHLOzb (adults) or http://bit.ly/2qE2Ejm (minors). You may select more than three if you have any ties.
Required
Please read the below statement, then select "I agree" to complete your application. *
By submitting your application, you are agreeing to consistently meet with a mentor for the duration of the school year (October-April; May is recommended, but not required). While you may cancel meetings, you are committing to rescheduling any missed meetings so that at a minimum, you are meeting with your mentor once a month. You are required to contact Doxazo if your mentor consistently cancels meetings, doesn't show up for meetings, shows up significantly late for meetings without notice (i.e. ten minutes or more), and/or is repeatedly unavailable to meet. Doxazo may check-in on the relationship every once in a while, but it will be the primary responsibility of the mentor and/or mentee to bring any issues to Doxazo's attention. Doxazo is more than willing to provide additional resources and/or re-evaluate the relationship if requested by the mentor, mentee, or relevant outside party (ex. parent, spouse, family member, Doxazo staff member, significant other, pastor, etc.). Evaluation of the relationship does not guarantee re-matching the mentor and mentee, but may first include feedback for modifying the relationship. If re-matching is required, then Doxazo will re-match the mentor and mentee if they would individually like to continue in the program. Doxazo or a Doxazo representative will introduce each mentor/mentee pair as necessary. You are only responsible for paying for your own food/drink if you meet your mentor at a restaurant or coffee shop, although you may offer to pay for your mentor's food/drink. You may meet your mentor in your home if your mentor, as well as your guardian(s) if they live with you, is comfortable with it.
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