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Mentoring Agreement Form

THIS PORTION TO BE COMPLETED BY APPLICANT

Name (Required)

First

Last

Phone (Required)

Address (Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Program of Study (Required)

Date mm/dd/yyyy

Signature

MENTOR DETAILS

Name of the mentor: (Required)

Educational/ Theological qualification and the name of accrediting/affiliating body: (Required)

Present position in the church/ ministry/ organization: (Required)

Years in the ministry: (Required)

Address (Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Declaration: I hereby declare that I am willing to be a mentor for student/s of COTRTS-GOTSDOES and promise to give my best to build my theological, academic, spiritual and ministry life mentee/s. I will discuss but will not force any doctrinal issues on the student.

Signature (Required)

Date (Required) mm/dd/yyyy