Mentor Application

Thank you for your interest in Kicking Bear’s mentorship program. Our mission is to “Put a bow in a kid’s hand and lead their family to the Lord-One on One”. Through mentorship, we accomplish the “one on one”.

Please note that we are limited to the amount of mentor/mentee pairs we can accommodate solely based on the number of qualified applicants. That being said, it may take some time after your application has been reviewed before signing a commitment with a mentor.

God Bless,

The Kicking Bear Team

Mentor*
First Middle Last
Birth Date*
MM slash DD slash YYYY
Age*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Occupation*
We believe that the true church is composed of all such persons who through saving faith from Jesus Christ have regenerated by the Holy Spirit are united together in the body of Christ, of which he is the head.
Are there any personal concerns you have about entering this relationship?
What is your availability?
- Weekly
- Monthly
- Yearly
I am willing and able to commit to participate in at least one outdoor activity per month with my mentee **
- Yes
- No
Hobbies, Interests, Gifts
The reason I desire to be a mentor is:
Where did you find out about this opportunity?
Is there any personal or background information you would like to share that would be helpful in making a mentoring match?
Past Mentor Experience (If Any):
Consent*
I have read the Release of Liability and Assumption of Risk Agreement, and I fully understand its terms, and understand that I have given up legal rights by clicking and signing this form, and I do so freely and voluntarily without any inducement.
I agree to the Release of Liability and Assumption of Risk Agreement

Mentor Application

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Contact Us

608-881-6458

info@kickingbear.org