Mentor Group Registration

Mentor Group Registration

Please fill out our Mentor Group registration form to start our process. Someone from our adult ministry team will reach out with next steps after we receive your submission.
NOTE: This form must be completed in full before a mentor is assigned. Please use "N/A" for any fields that do not apply to you.
Personal Information
Name*

First NameLast Name
Preferred Name (if different)
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date
Age
Marital Status*
Phone Number*
Email*
example@example.com
Preferred Contact Method:*

Phone CallEmailText
Best time to reach you
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
Religious Background
Which Church at The Mill Campus do you currently attend? (Please note that mentors are currently prioritized for Church at The Mill members and attendees).*

Central CampusLake Cooley CampusWoodruff CampusI do not currently attend Church at The Mill
How often do you attend per month, in person?*

01234+
Please select your membership status:*

Active MemberIn Membership ProcessRegular Attendee/Guest
Do you currently have a regular daily quiet time?*

YesNo
I have been in a one-on-one mentor / discipleship relationship before:*

YesNo
Briefly share why you would like to be mentored.*
Should be Empty:

Personal Information