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Apartment, suite, etc.
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Month
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Date
1
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Year
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2018
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2021
2022
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2024
Marital Status
Single
Married
Widowed
Divorced
Seperated
How long have you attended the Ridge?
Please describe your current life stage
I currently live
alone
with my husband
with my husband and kids
with my kids
other
Are you seeing a professional therapist or counselor?
Yes
No
Which role will you be for this 6-month commitment?
Mentor
Mentee
Prayer Partner
Is it important to you that your mentor be older than you?
Yes
No
What is your general availability during a typical week – check all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Early Morning
Mid Morning
Noon-time
Afternoon
Dinner-time
Evening
Later Evening
School Hours
Very Flexible
Not Flexible
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”.
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?
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