THE MENTOR’s PERSONAL PROFILE Please fill in all blanks that apply to you. Information will be held in confidence by the WM team.
Name _________________________________________________________________________________________________________________________ Age _______________ Address _________________________________________________________________________________________________________________________________________________________________ Cell Phone _________________________________________________________Email __________________________________________________________________________________________ Occupation_____________________________________________________ Employer __________________________________________________ ___Single ___Engaged ___Married (# of years ______) ___Blended family ___Divorced(#years______) ___Widowed Spouse’s Name ________________________________________________________________________________________________________ Age ________________ Children’s ages (M) _____________________________________________________________________ (F) ____________________________________________________________ Grandchildren’s ages (M) _____________________________________________________________________ (F) ___________________________________________________________ Stepchildren’s ages (M) _______________________________________________(F) ___________________________________________________ Living with you? ___Yes ___No Are you a member of Grace Bible Church?____________________ Since what year? __________________________ I accepted Christ _______________ /________________ (year/age) I have attended Grace Bible Church since ______________ Please reference and read the Grace Bible Church Statement of Faith found on our website (http://www.gracea2.org/ about/statement-of-faith/) Please initial if you are in agreement (these are an abbreviated version). _____ Scripture is the inspired, inerrant, infallible Word of God. _____ The one true God exists in three persons: Father, Son and Holy Spirit. _____ Jesus is fully God and fully man. He became human and was the perfect sacrifice to pay the penalty of sin and satisfy the just wrath of God. _____ The Holy Spirit inspired Scripture, and glorifies Christ. He also convicts, guides and gifts believers. _____ People were created in the image of God but through sin, all have become spiritually dead. Thus everyone needs a new life in Christ. _____ Salvation is by God’s grace through faith in Jesus. _____ Under the headship of Jesus, the church is an assembly of believers committed to worship, grow and serve. _____ Christ’s imminent return will be personal and visible.
THE MENTOR’s PERSONAL PROFILE (continued)
Describe how you became a Christian: _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________
Why do you want to be a Mentor? _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ II Corinthians 1:4 says “Who (God) comforts us in all our tribulation, that we may be able to comfort those who are in any trouble, with the comfort with which we ourselves are comforted by God.” What are the “tribulations”, troubles, or afflictions that you have walked through and experienced God’s comfort that you feel has equipped you to better minister/mentor? ___ job loss ___disappointments ___loss of family member or friend ___major family conflicts ___physical illness ___emotional illness ___illness of close relative ___moving away from family/friends ___loss of child/miscarriage ___major marital trials ___sexual issues Please list any others others__________________________________________________________________________________________________________________________________________________ Please clarify if needed_________________________________________________________________________________________________________________________________________________________ Is there anything in your life today that you feel would interfere with you being a mentor? _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________
THE MENTOR’s PERSONAL PROFILE (continued) Hobbies, Interests, Gifts: _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ What I desire in a mentoring relationship is: _______________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________ How many times a month can you commit to meeting with a Mentee? __________________ Are you interested in mentoring more than one Mentee at a time? _____________________
If necessary, please continue below or on a separate sheet of paper and share any personal or background information you feel would be helpful in making a mentoring match.
Thank you and blessings! Form can be given to a Women’s Ministry team member, dropped off to the Women’s Ministry box at the Welcome Center in the Lobby - OR Mailed to: Grace Bible Church Attn: Women’s Ministry 1300 S. Maple Rd. Ann Arbor, MI 48103 For more information about mentoring, please contact Shannon Marie May at
[email protected]. Women’s Ministry Team: Shannon Marie May, Helen Park, Jenny Morse, Jane Glupker and Dara Beck
