Crossroads Mentorship Program--MENTOR

Please fill out the following questions as completely as possible. This will help us to pair you well with a
mentee.

Please leave any questions blank that you do not feel comfortable sharing at this time.

Your name *

Email address *

Phone number

Address

Best method to contact you:

Phone call

Text Message

Age

Gender

Current Occupation

Past Occupations

List as many as possible

How large was your family of origin? What sibling were you? (oldest, middle, youngest)

How large is your current family? Who is in it?

Personal Questions

How (and when) did you come to Christ?

What struggles have you had in life that you would be comfortable giving another person advice on?

Do you have any previous mentoring experience? Please explain.

What does your spiritual life entail? (Prayer, Bible reading, church attendance, etc)

What are your hobbies? What gets you excited about life? What breaks your heart?

What are five adjectives to describe yourself?

Mentorship Preferences

What is your availability in the next six months?

What age(s) would you prefer to mentor?

What style of mentoring do you hope to have? When you picture mentoring someone, what are you doing together, how often, and how are you personally interacting with them?

This can vary greatly. Many mentor and mentees meet every other week, for example meeting at coffee shop to discuss challenges. But there’s not a “right” or “wrong” way to meet so long as we’re meeting. You can go hiking and talk.

Why do you want to mentor someone?

Where would you prefer to meet with your mentee?

(Coffee shop, hiking, public park, at a home, etc.)

List five traits of your “ideal” mentee.

List two references within the Crossroads Church body and their phone numbers:

Would you take advantage of mentorship resources (books, training, etc.) if available?