UPTOWN CHURCH
D
ISCIPLESHIP
T
RAINING
Complete this form and return to the church office. SECTION 1 Your name ___________________________________________________________________________ Address ___________________________________________________________________________
___________________________________________________________________________ Phone ___________________________________________________________________________ Email ___________________________________________________________________________
SECTION 2 1) Are you currently being mentored by someone Yes ____ No ____
2) If so, by whom
3) Are you interested in being mentored by someone Yes No If so, answer
the following questions 4)
Generally speaking, what kind of person would
you like to have as a mentor ______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________________
5) If you already know, who would you like to be your mentor __________________________________
_____________________________________________________________________________________
6) How long have you been a Christian ____________________________________________________
7) Are you a member of Uptown Church ___________________________________________________
8) Have you ever been mentored before ____________________________________________________
SECTION 3 9) Are you currently mentoring someone Yes ___ No ____
10) If so, who are you mentoring _________________________________
11) Are you interested
in being a mentor Yes No If so, answer the following questions
12) Generally speaking, what kind of person would you like to mentor ___
_____________________________________________________________________________________
13) If you already know, whom specifically would you like to mentor ____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________________
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