Please complete the following application to volunteer as a Love Life Discipleship Mentor. Thank you so much for your commitment to love and life in your city!

*At Love Life, we believe that God places great value on His Church (Matt. 16:18b), and for that reason, we also deeply value the local church.To be approved as one of our volunteers, you MUST be a part of a local, evangelical church that adheres to our Statement of Faith. If you are not part of a local, evangelical church, do not proceed with this application, please reach out to us at [email protected] and we'd be happy to help you find one in your area!

I have read the above statement, and I am part of a local evangelical church *

Yes

First Name *

Last Name *

Region *

Phone *

Email *

Preferred Method of Contact *

Phone

Text

Address *

City *

State *

Postal code *

Church Name *

Date of birth *

Gender *

Male

Female

Marital Status *

Single

Married

Do you have children? *

Yes

Do you speak a language other than English? If so, what other language(s)? *

Employer and/or Occupation *

Do you confess Jesus Christ as your Lord and Savior?

Yes

Please share your testimony and how you came to faith in Christ:

In your own words, what is a Christian?

How would your faith affect your work as a Mentor?

Do you feel that there are any exceptions that make abortion a valid choice for a mom? *

Yes

If you answered yes, please explain your answer below:

Have you had or been involved in an abortion? *

Yes

If you have had an abortion, have you participated in a healing study? It is our greatest desire that our mentors receive healing as well as our mentees! *

Yes

N/A

What level of involvement do you want to have with a mentee? Do you feel equipped, called or prepared to handle a case with many needs or with fewer needs? All will need relationship as the base, but some mentees have greater needs than others (We will train you and provide a resource guide for services available in the area, regardless). *

Why mentoring is on your heart? *

Is there particular demographic that God has placed on your heart? *

Please describe your personality so we will know better how to match you with a mentee.(Are you outgoing, shy, take charge, sit back and wait, etc.) *

Do you have any past experiences that may make you a better match for certain mentees? (ex. teen parent, single parent, abortion, rape, multiples, etc.) *

References

Love Life highly values the local church. As a Love Life Mentor, connection to your local church is vital. We also want to make sure you are supported in this role as you walk alongside your mentee. Please provide the email address for a pastor, elder or leader that would be able to recommend you for this ministry. You must provide name and email of your reference to move forward!

Pastor/Elder Name *

Pastor/Elder Email *

I have read and agree to the Love Life Statement of Faith. *

Yes

I have read and agree to abide by the Confidentiality Statement. *

Yes

I have read and agree to abide by the Mentor Agreement. *

Yes

I consent to a background check required by Love Life USA, and upon completion of this application I will submit my background screening application (Fee of $15.95 required by applicant) *

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