Mentor Application

Thank you for your interest in becoming a mentor in our program dedicated to helping women and their children thrive after trauma. Your support can make a significant impact!

BASIC INFORMATION

Name

First Name

Last Name

Phone

(###)

###

####

Birthday

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

BACKGROUND

Why are you interested in becoming a mentor for a woman in our program?

How would you describe your relationship with Jesus?

Do you have any personal experience or training related to issues of domestic abuse, trafficking, or addiction? If yes, please describe.

What skills or qualities do you possess that you believe make you a good fit to be an E.L.I.’s House mentor?

Have you ever been a mentor before? If so, please provide details about your experience.

AVAILABILITY

What days and times are you generally available?

GOALS + EXPECTATIONS

What do you hope to achieve through this mentoring relationship?

How do you plan to support your mentee in achieving her goals?

ADDITIONAL INFORMATION

Is there anything else you would like us to know about you?

What questions or concerns, if any, do you have about becoming an E.L.I.’s House mentor?

REFERENCES

Please provide two references (name, relationship, and contact information):

Reference 1:

Reference 2:

Mentor Application

Interested in becoming a resident at E.L.I.’s House?