MENTEE’S APPLICATION FORM: 002

MENTEE’S APPLICATION FORM

PERSONAL

Gender: (Tick) Male_____ 

Female_____               

                                                                               

Date of Birth:  __________ /__________ /_______________

                                   (DD)                 (MM)                     (YY)

First Name

Last Name

E-Mail (If applicable)

(H)                                                       / (W)                                                               / (C)

Phone (Where applicable)

Married (if applicable): (Tick) YES_____          

                                                     NO_____

Children (if applicable): (Tick) YES____

                                                      NO____

Address

Name(s) of parent(s) / guardian(s) if under age 18 years

Address if different from above

(H)                                                               / (w)                                                       / (C)

Phone

Do you attend school, college, university, institute, work, other? (Tick) YES____

                                                                                                                                NO____

Name of educational institution and or place of employment?

INTEREST

What are your areas of interest in the church, i.e., what church ministries are you involved in and or interested in?

Which school-related extracurricular activities are you involved in? (If applicable)

What types of non-school related extra-curricular activities do you enjoy? Tell us anything interesting about yourself. (If applicable)

What are you looking for in a mentor?

Tell me about something that you wanted to do and then achieved it…

What is your vision for the next 2 years of your life?

What would you be willing to give up (specifically) and sacrifice in order to see your visions and dreams fulfilled?

What is it that you would like to achieve specifically in life?

What type of person do you hope to become?

What do you think would be needed to make this mentorship programme a success?

Do you think a mentorship programme is an effective method by which adults and youth can better relate to each other? State why.

Would you recommend this or a similar programme to your friends? State why.

P.S.  If there’s anything else you feel is important for our MENTORSHIP PROGRAMME COORDINATING COMMITTEE to know about you personally that you haven’t already included within the questions above please include, along with any last-minute comments here below:

Any questions or concerns please contact:

CHRIST IS THE ANSWER FAMILY CHURCH

LITTLE BATTALEYS

ST. PETER

BARBADOS, W. I.

E-MAIL: citafc@caribsurf.com

TEL: (246) 422-2148

FAX: (246) 419-0793

OR: Any representative of the Mentorship Programme Coordinating Committee

OOW
2010