2023 Heart to Heart Mentee Questionnaire

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A Heart to Heart Mentee is any woman desiring to grow in their relationship with Jesus through an intentional relationship with another woman who is faithfully following Jesus and willing to share her experience with you.

Email *

Name *

First and last name

Phone number *

Physical address *

Age *

Marital Status *

Single

Engaged

Married

Separated

Divorced

Widowed

Occupation (or Major, if you are a student) *

Number of children and their ages *

Number of years married *

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 do you hope to gain from a mentoring relationship and what areas do you hope your mentor will help you grow? *

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.
*

Do you have a specific woman in mind you'd like for a mentor? We cannot guarantee we can match you with anyone specific, but we will take it into consideration. *

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

Yes

Mentee Covenant

Are you able to fulfill the Covenant Commitment requirements? If you need childcare for the training, please call the office by Aug 20 to let them know. *

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? *

Submit

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