Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Mobile Phone
*
(###)
###
####
Home Phone
(###)
###
####
Date of Birth
*
MM
DD
YYYY
What Church do you attend?*
*
If one year or less, where did you attend previously?
Include church name and address.
How long have you attended your current church?
*
Which of the following areas of ministry do you enjoy or find that you have a passion/skill for?
*
Please check all that apply.
Description of other passion/skill
*
When did you receive Jesus Christ as your personal savior?
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Briefly describe your lifestyle before your salvation.
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Have you been baptized in water?
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Yes
No
If so, when?
Have you been baptized with the Holy Spirit?
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Yes
No
If so, when?
Please write the story of how you met Jesus and your journey as a disciple in one hundred words or less.
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List your reasons for wanting to join Awaken Prayer Mentorship (APM)
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What calling do you believe God has placed upon your life (schooling, ministry, occuptation, etc.)?
*
Describe your involvement at your church (ministry, assistance, teaching, ushering, attendance, etc)
*
Are you planning on participating in Awaken Prayer Mentorship for one or two years?
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One Year
Two Years
What would you like to see changed in your prayer life as a result of this mentorship program?
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What is your prayer life like?
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Are you currently involved in a prayer group?
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Yes
No
If so, where?
What type of prayer do you feel drawn to?
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For example, spontaneous, praying the word, thanksgiving, spiritual warfare, prayer walking, etc.
What are your long-range prayer ministry goals?
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What do you feel your strengths are in prayer?
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What do you feel your weaknesses are in prayer?
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Please describe your devotional life (daily time in prayer & reading the Bible) over the past three months
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Please describe any conditions you have (or have had in the past two years) that affect your relationships, ability to study, or other areas of life (depression, anxiety attacks, attention deficit disorder, etc.)
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Please try to assess the following in yourself:
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I am spiritually mature
I am devoted to Christ
I have personal integrity
I have self-discipline
I have a willingness to serve
I have a willingness to learn
I have a healthy family life
I have a the ability to work with others
I have strong communication skills
I have strong leadership skills
I am reliable
What are your plans after Awaken?*
*
Name of Friend for Reference
*
Form is to be filled out by a Christian friend. Family member may not serve as a reference.
First Name
Last Name
Name of Mentor/Leader for Reference
*
Form is to be filled out by a leader, mentor, or someone who speaks into your life. Family member may not serve as a reference.
First Name
Last Name
*
