Mentor Application

This form is for those interested in becoming Mentors. It captures helpful background information for the Marriage Mentoring Program as well as the matching process with mentees. After completing this form someone will contact you about the next steps.

Name *
Name
Wedding Anniversary (Including Year) *
Wedding Anniversary (Including Year)
Please provide the name and phone number of your Small Group Leader and/or an Elder who knows you and your wife.
If you have Children please provide their Gender and Age for as many Children that you have.
Please review your upcoming commitments
List out any Scheduling Concerns that you feel could preclude you from being able to meet with a Mentee at least once a month
Marriage Statements *
Please select all statements below that are true for your marriage history that will help us match you with a mentee couple.
Are any of the Red Flag Statements below true for you? If so, this may not be the best time for you to invest in the lives of others. All marriages go through hurdles from time to time. We would encourage you to first, address the issue in your own marriage; and then use your story to mentor others. (1 Corinthians 1:4) *