Midland Evangelical Church
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Mentoree or Disciplee Profile
Contact
Kevin Ryan at
989-839-2185
kjr.ryan@gmail.com
Last Name
First Name
Address
City, State, Zip
Home phone
Work phone
Home Email
Work email
Age
Marital Status
Children's Ages
Please select:
Midland Free Member
Midland Free Attender
Do you desire to be mentored, discipled or be an apprentice under a leader? (select one)
Mentored
Discipled
Apprentice
What type of relationship do you desire?
One-on-one
Small Group
What time commitment do you desire?
Weekly
Every other week
Day only
Evenings only
Day or evenings
Do you have a personal relationship with Jesus Christ? If so, for how long?
Please describe your personal relationship with Jesus Crhist (or not sure yet).
What are your expectations of a mentoring relationship?
I desire someone to build me up and gently lead me.
I desire someone to encourage me hold me accountable and challenge me to grow.
Other please describe below if you selected other.
Other
In the following list, which areas of your life would you like to develop? Please choose your top 5 and rank in order 1-5, with 1 being one of your key strength areas:
Love & reverence for God
1
2
3
4
5
My spiritual gifts
1
2
3
4
5
Relationship with wife
1
2
3
4
5
Helping aging parents
1
2
3
4
5
Discipline of my tongue
1
2
3
4
5
Sharing the gospel
1
2
3
4
5
Sexual temptation
1
2
3
4
5
Stress management
1
2
3
4
5
Personal quiet time
1
2
3
4
5
Single men and social life
1
2
3
4
5
Parenting skills
1
2
3
4
5
Time management
1
2
3
4
5
Addictive behavior
1
2
3
4
5
Bible study skills
1
2
3
4
5
Balancing career and home life
1
2
3
4
5
Other