Renewed Mentor Ministries — Faith, Mentorship, Transformation

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Introductory Form

We are so glad you are here. Before reaching out, please take a few minutes to fill out this form. It helps us get to know you and connect you with the right mentor for your journey.

About You

Full Name *

Email Address *

Phone Number

Age Range

City & State

How did you hear about us?

Your Mentoring Journey

What type of mentoring are you interested in?

What brings you here? What are your goals? *

Brief Personal Testimony (optional)

Prayer Requests (optional)

Identifying Specific Needs

Please check all areas you hope to focus on during this mentorship:

Spiritual Growth

Overcoming doubtsLearning how to study ScriptureDiscerning God's will & callingDeveloping a consistent prayer life

Personal & Character Development

Managing stress or anxietyNavigating major life transitionsOvercoming habits or habitual sinsAccountability and integrity

Relationships & Family

Marriage preparation / enrichmentParenting challengesNavigating singleness or datingResolving interpersonal conflicts

Other Desired Growth Outcomes

Leadership developmentBuilding spiritual disciplinesHelp discovering purposeOther (please specify below)

If you selected "Other," please specify:

I understand that Renewed Mentor Ministries is a volunteer-based Christian mentoring ministry and that all information I share will be kept confidential and used only to connect me with a mentor. *

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501(c)(3) nonprofit status pending