Mentor Application Form
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Email *
Name *
Address *
City, State/Provine, Zip/Postcode *
Phone
What is your preferred method of communication? *
Your Job Title *
Congregation *
Congregation’s City & State/Province *
Current Congregation size (no. of adult members) *
Current RE Program Size (no. of children & youth) *
Name and size of Congregation(s) of any previous experience as Religious Educator (if applicable)
Total Years served as a Religious Educator *
Current member of Continental LREDA *
Applicant agrees to be a member of Continental and District LREDA.  For information on membership, and also for financial assistance for dues, please contact the PNWD Mentoring Coordinator, pnwdlredaboard@gmail.com.
Current member of PNWD LREDA *
Applicant agrees to be a member of Continental and District LREDA.  For information on membership, and also for financial assistance for dues, please contact the PNWD Mentoring Coordinator, pnwdlredaboard@gmail.com.
Your Myers Briggs Personality Type
Your Enneagram Type
Tell me a little about your cultural identity *
What is your working style? *
Why do you want to be a mentor? *
Please rate how qualified you feel to assist someone in the following subjects: *
You don’t need to feel confident in everything! Mentees have very different backgrounds and areas they'd like to learn.
Prefer not to
Average
Above average
Expert
Administration
Anti-racism, Anti-oppression, Multiculturalism (AR/AO/MC)
Curriculum
Family Ministry
Finding resources
Music
Navigating COVID
Networking
Relationships with Staff and Congregation
RE Program Development: Children
RE Program Development: Youth
RE Program Development: Young Adult
RE Program Development: Adult
Safe Congregations
Self-care
Teacher Training
Time Management
Unitarian Universalism (history, polity, identity, philosophy)
Worship
Additional comments/Areas of specialty
I have read the Mentoring Procedures (https://tinyurl.com/mentor-procedures) and agree to work within those guidelines: *
Please type your name as a signature *
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