MB Members Portal - One with One Discipler Form

First Name

Last Name

Gender

Cell Phone

Email

Occupation

Are you?

Do you have children?

YesNo

If yes, what are their names, genders, and ages?

Please briefly describe things you are passionate about (hobbies, pastimes, interests, etc.)

Please explain how and when you began to follow Jesus:

How is your life different than it was before you met Christ?

Please briefly describe your current season in your relationship with Jesus:

How long has Mt. Bethel been your church home?

What excites you about investing in the lives of younger women?

Why do you feel that you would be good at guiding another?

Is there anything in your life that would hinder you from being an effective mentor?

What season of life do you feel you would best serve (single, married, moms, career women, etc.)?

Please choose three areas of life where you would be able to offer most insight:

First Topic/Life Area

Second Topic/Life Area

Third Topic/Life Area

Please select all preferred meeting times with your disciple:

Mornings
Afternoons
Evenings
Weekends

Commitment

I am all in! I will attend the mandatory mentor training or watch it online when it is made available. After the training I will commit to lead as a discipler January 2020 - December 2020.

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