Communication and Promotion Form

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Birthdate

Marital Status

How long have you attended the Ridge?

Please describe your current life stage

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?

It is preferred that the mentor/mentee 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”.

On occasion we have a mentee and mentor who have decided they'd like to meet but they want to join the mentor program for the structure and support. If that's you, please write the mentor you plan to have in the box below and they will be contacted for a meeting so they can get the materials and learn the process.

Please explain your current relationship with Jesus

What is your greatest goal for participating in this program?

Men's Mentoring Form