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Christian Women's Job Corp
Mentor Application
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First Name
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Last Name
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Email Address
Birthday
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Address Line 1
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Address Line 2
City
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State
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ZIP Code
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Home Phone
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Work Phone
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Mobile Phone
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ext.
Education Completed
12th grade or less than grade
Associate Degree
Bachelors Degree
Masters Degree
Doctoral Degree
Do you have any Specialized training?
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What is your Church Membership?
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What is your Pastor's name?
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Church phone number
How did you hear about Christian Women's Job Corps?
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Why do you want to serve as a CWJC mentor?
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Church/community activities
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Church Participation
Previous
Church/community activities
Current participation
Previous
Please list church/community activities
What spiritual gifts, skills, abilities, traits, and experiences do you bring to mentoring?
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Will you commit to attend future mentor meetings for training and encouragement?
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Please provide us with two personal references:
Name, address, city, state, zip, phone number, e-mail and relationship
*
Date
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If you have questions or need additional information, contact Pat Bryan.
Mentor Application
Last Published: June 15, 2009 4:12 PM
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Mentor Application
If you are interested in becoming a Christian Women's Job Corp mentor, please fill out the attached form.
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4105 Poole Road
Raleigh, NC 27610
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Resource Center:
4105 Poole Road
Raleigh, NC 27620
Office Hours:
Monday - Thursday - 8:00 am - 5:00 pm
Mailing Address:
PO Box 46659
Raleigh, NC 27620-6659
Phone:
919.231.3995
Fax:
919.231.4819
E-mail:
info@raleighbaptists.org