Mentorship Application Mentor Application Name*Date*Email Address*Address*City*State*Zip Code*Phone Number*Why do you want to be a mentor with The Lighthouse?*Please provide us with a summary of your experience:*Please provide us with a short testimony of your faith:*Please explain how someone would get to heaven:*What church do you attend?*Please provide us with your Pastor's name and contact information:*I have reviewed The Lighthouse mentor training packet.* Yes No I agree to follow the instructions outlined in the mentor training packet.* I Agree I Disagree I agree to follow The Lighthouse privacy policy.* I Agree I Disagree I agree with and will honor the Statement of Faith provided by The Lighthouse.* I Agree I Disagree I have never been convicted of a violent offence or a sex crime.* I Agree I Disagree I would like to talk to you about this Please type your name (digital signature) agreeing to the terms of this application:*