Become a Mentor
Complete this form to become a mentor for a woman in an unplanned or crisis pregnancy. Please email leapforjoyinc@gmail.com with questions!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Age *
City *
State *
Email Address *
Phone number *
Highest level of education completed *
Profession/ Major *
School/University name
I am willing to make an account on the Leap for Joy Mighty Networks Community and message my mentee through private messaging. (Instructions will be provided) *
Required
Types of encouragement I would be able to provide (select all that apply) *
Required
Religious Identity
How often would you like to talk with your mentee? *
Required
Why are you interested in becoming a Leap For Joy mentor? *
Why are you pro-life? *
Do you believe abortion is wrong is every circumstance? *
How would you handle a situation where your mentee started considering having an abortion? *
Are you post-abortive? *
If yes, have you completed a healing retreat or program?
Clear selection
More about You (check all that apply)
How did you hear about Leap For Joy? *
Required
I understand that I am making a commitment to mentor a woman who has decided to choose life throughout the duration of her pregnancy. I understand that it is my responsibility to contact my mentee to begin the mentorship after being paired. I will read the Guide that is emailed to me and contact Leap For Joy with questions or concerns. *
I will protect my mentee's privacy by not sharing her name, personal information or pictures of her online or to others unless given explicit permission to share. *
I will complete the Training Materials that are emailed to me and sign the Agreement Form. I consent to a Background Check. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms