Woman to Woman Mentoring Card - The Ridge

Your Name *

Email Address *

Phone Number *

Address (Street, City, State, Zip) *

Birthdate *

Marital Status *

How long have you attended The Ridge? *

Check the boxes that describe you...(things you struggle with, areas you want to focus on, etc)... *

Please describe your current life stage *

I currently live * I currently live

Are you seeing a professional therapist or counselor? *

Which role will you be for this 6-month commitment? *

Is it important to you that your mentor be older than you? *

What is your general availability during a typical week – check all that apply *

It is preferred that the mentor/mentee/prayer partner do not have a close personal history. This helps prevent other dynamics (family issues, previous knowledge) to interfere or affect the mentoring process. Please list any relatives or close friends who attend The Ridge and should be eliminated as a potential match. This can be due to a friendship or a tension, we won’t ask the “why” – just the “who”. *

Please explain your current relationship with Jesus *

What is your greatest goal for participating in this program? *

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