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Field Ed - Application
Today's date
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Your Name
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Your Email
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Confirm Email
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Male or Female
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Male
Female
Please provide the following personal information, so we can contact you.
Full Mailing Address
Telephone
Country
Name of your school
Marital Status
Please list other languages you speak and write fluently, apart from English.
How did you hear about us?
Please select your age group.
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16-19
20-30
31-40
41-50
51+
Please answer these questions regarding your commitment as a mentor.
Are you willing to commit yourself to be involved for the period of one year?
Are you willing to commit yourself to checking your email daily?
I have forwarded the Pastoral Reference form to my Pastor or other Spiritual Mentor.
What is your present Church?
You may enter a spiritual mentor or college staff name instead of a pastor's name
Your pastor's name
Your pastor's email address
Your pastor's phone number
Have you read through and do you agree with our Statement of Faith?
Do you have any specific questions/concerns regarding the Statement of Faith? If so, what are they?
Your spiritual Journey is so important if you are to assist others. Please fill out these next questions with great care and consideration.
Briefly, tell us how you came to know Jesus, as your Lord and Saviour.
Please supply 2 verses that you go back to for your assurance of salvation. Or if you struggle with assurance, please explain.
Describe your current devotional life. What have you been studying? What has God taught you this last month?
Please explain how you maintain purity in your thought life and in your dating relationships.
Do you struggle with addictions like with alcohol, drugs, or pornography that may affect your ability to volunteer with this ministry?
Do you have any unresolved issues regarding Internet pornography, or inappropriate onliine behaviour? (games, chat rooms etc)
Why would you like to be a mentor?
Do you have the time to be an online mentor and chat leader - or is this just another "thing" on your schedule?
Please tell us a little more about yourself.
What do you think are your personal strengths?
What do you think are your weakness?
What do you think are your spiritual gifts?
How have your gifts been affirmed, and by whom?
What in your life or giftedness gives you the most joy?
Please give us a sense of your family background. What type of family did you grow up in?
How do you feel about being at college? Is this your first time away from home?
Please select any particular situations where you could especially relate to other people. Select all that apply.
Abortion
Abuse: Emotional
Abuse: Physical
Abuse: Sexual
Addictions: Drugs and Alcohol
Addictions: Pornography or Sexual Issues
Blended Family
Chronic Illness or Pain
Dating
Death and Grieving
Depression
Divorce
Eating Disorders
General
Panic Disorders
Single Parenting
Spiritual Growth
Are you a returning volunteer with TruthMedia? Please re-enter or provide the following information, so we can contact you. (your name, address, phone number and email address.
Returning volunteers, please complete
Which area of Field Ed did you most enjoy and why?
Do you have a preference in your focus of involvement for the upcoming year?