Mentoring Application
Are you interested in being mentored by one the participants in our biblical counseling class? Please complete the questions below. 

Please Note: This experience is not designed for children/adolescents, or for those experiencing suicidal ideation/self-harm, abuse, or requiring support beyond a weekly meeting. If you need more intensive support, please see our counseling resources page. 

The mentoring experience begins in January 2023, and involves meeting weekly for 9 weeks. Meetings can be in-person or remote. We will contact you to let you know if we are able to connect you with one of our counseling trainees. Please note that space is limited.

Beth Claes
Director of Counseling
New Heights Church
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Email *
Name
Phone Number
Gender
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Age
How did you hear about the mentoring program? 
In general, what areas would you like mentoring support for?
In a couple sentences, tell us a bit more about the struggle you want support for. 
On a scale of 1-10, how significant is this problem in your life? 
Very little negative impact
Very significant negative impact
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What are you currently doing to help with this issue?
Are you currently seeing a counselor or therapist?
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What days/times are you available for these mentoring meetings? Please list all available days/times.  *
Is there a particular mentor you were hoping to work with? If unsure, just leave blank.
Is there anything else we should know?
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