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Home
About Us
Legacy of Service
Our History
Leadership
Policies and Statements
Get Help
Basic Needs
Emergency Shelter
Meals
Recovery Program
Get Involved
Donate
Capital Campaign
In-Kind Donations
Planned Giving
Events
Join Our Team
Mentorship Program
Volunteer
Media
Blog
Newsletters
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Prayer Requests
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Mentorship Program Application
Las Vegas Rescue Mission
2022-04-05T21:35:44-07:00
Mentor Application
First Name
*
Last Name
*
Date
*
Best Phone:
*
Alternate Phone:
Email:
*
Your Church
Emergency Contact
First Name
*
Last Name
*
Phone:
*
Email:
*
Relationship:
*
References and Ministry Experience
Please list three references. If applicable, include a pastor or someone in your church leadership.
First Name
*
Last Name
*
Phone
*
Email
*
First Name
*
Last Name
*
Phone
*
Email
*
First Name
*
Last Name
*
Phone
*
Email
*
Please list any ministry experience you have had (i.e., leadership, service roles, etc.)
*
Please answer the following questions:
1. What interests you in becoming a mentor for one of the members of this program?
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2. Describe your perspective on how people become addicted to substances, and your perspective on how then people overcome addiction.
*
3. Realizing that this is a distinctly Christian organization, do you feel that you would have any conflict with the mission's goals and objectives? Why or why not?
*
4. List any goals you may have for this relationship and your plan of action to meet those goals.
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5. Please list your hobbies and skills. We will use this information to match you with a mentee that shares your interests or that could benefit from your gifts.
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6. How many mentees are you willing to mentor?
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7. What is your availability to be a mentor? (Days/Times)
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8. Please use this space to tell us anything else about yourself that you feel is important for us to know.
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Substance Abuse/Addiction:
A. Do you currently have or ever had challenges related to substance abuse/addiction?
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Yes
No
B. If yes, how long have you been substance free?
C. Briefly describe your addiction and the treatment program(s) that followed.
I have answered all the above questions honestly and to the best of my ability. I understand that the submission of this application does not guarentee admittance into the mentoring program. I will not begin mentoring until I have spoken to and received instruction from the mentor program coordinator.
I acknowledge that all approved mentors will be subject to a background check. I also understand that mentors who relapse will no longer be able to mentor clients.
I have read and understand the Statement of Faith that reflects the values of the Las Vegas Rescue Mission
Last Step!
How would you like us to contact you?
*
Email
Phone
I would like to receive email communications from the Mission with information about upcoming events and other ways I can help
Submit
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