Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMarital StatusSingleMarriedWidowDivorcedSeparatedOccupationDo you have children? (If yes, please list ages)Number of years married?Is Riverview your home church?YesNoDo you actively serve at another church?YesNoMENTEE INFORMATIONFlourish Mentoring requires a 14-week commitment from the first mentor/mentee meeting. During this time, you commit to daily time in the Word with Jesus. You also commit to walking in relationship with your mentor through weekly connections.I commit for 14 weeks to be held accountable by a mentor:YesNoPlease select all your preferred meeting times with your mentee:MorningsAfternoonsEvenings WeekendsPlease choose three areas of your life you would focus on in your journey with your mentee:01 First Topic/Life AreaKnowing the WordMarriageSinglenessMotherhoodFinancesPrayerCareerHealth and Wellness02 First Topic/Life AreaKnowing the WordMarriageSinglenessMotherhoodFinancesPrayerCareerHealth and Wellness03 First Topic/Life AreaKnowing the WordMarriageSinglenessMotherhoodFinancesPrayerCareerHealth and WellnessIf you have placed your faith and trust in Jesus, please explain how and when you began to follow Him:Please briefly describe your current season in your relationship with Jesus:Have you ever been in a Christian mentoring relationship before? Please list the positive/negative aspects of your experience:Please briefly describe things you are passionate about (hobbies, past-times, interests, etc.)Why do you desire to be in a mentoring relationship?Completion of this application does not guarantee participation in Flourish Mentoring. We will prayerfully look through the information you provided and then work to match you with a mentor. We take the matching process very seriously, and if we feel we do not have the best possible match for you, we may put you on a waiting list. Thanks for taking time to apply for Flourish Mentoring!Submit