2023 Heart to Heart Mentor Questionnaire

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A Heart to Heart Mentor is a woman who wants to provide guidance to another woman as she grows in their understanding of what it means to follow Jesus, be transformed by Jesus, and fulfill their part in the mission of Jesus. Mentors are guides who have travelled the path before, learned along the way, and are willing to assist others. They rely on Jesus rather than themselves using Scripture as the authority for their lives.

Mentors must be a member of Simonton Community Church.

Email *

Name *

First and last name

Phone number *

Physical address *

Age *

Marital Status *

Single

Engaged

Married

Separated

Divorced

Widowed

Occupation *

Number of children and their ages *

Number of years married *

Are you a member of SIMONTON COMMUNITY CHURCH? *

Yes

How long have you attended SIMONTON COMMUNITY CHURCH? *

Have you accepted Jesus as your Savior? *

Please explain how and when you began to follow Jesus as your Savior. *

Please describe your current relationship with the Lord. *

Please describe your current season of life. *

Did you participate in Heart to Heart last year (mentor/mentee)? How was your experience? *

What issues or concerns do you have as you consider mentoring? *

What seasons of life have you walked through that you can now turn around and help others walk through? *

What days and timeframe work best for you to meet (morning, afternoon, evening)? *

Are there any specific days or timeframes that you are unavailable to meet? Scheduling conflicts are usually the biggest barrier to overcome, so please be specific if there are times you won't be able to meet.
*

Have you read the Heart to Heart Mentor Covenant (see below)? *

Yes

Mentor Covenant

Are you able to fulfill the Covenant Commitment requirements? *

Yes

I'd like to speak to someone about these.

Are there any concerns you have that you would like to speak with the Heart to Heart leadership about or address in the mentor training? *

Send me a copy of my responses.

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