TruthGirlz Mentor Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Preferred way of contact * Text Email Date of Birth * MM DD YYYY Marital Status * Married Single Widow Divorced Employment Background Please fill out if you are currently employed or have been employed in the past 3 years. Current Employer Occupation How long have you worked for this company? Full or part time? Full-time Part-time Relevant Experience List relevant experience such as work, ministry, volunteer, or education and how long you worked with them. Training/Gifts What spiritual gifts, talents, or personality traits could you bring to this ministry? Christian Walk Do you consider yourself to be a Christian? Yes No Briefly share your salvation experience. * What habits and disciplines are currently helping you to mature in your Christian walk? * What church do you attend? * Pastor's Name * First Name Last Name Church Phone * (###) ### #### Describe your involvement at your church? * General Information How did you hear about TruthGirlz? * What is your reason for getting involved with TruthGirlz? Where do you feel most led to help us? * Please check all that apply. TruthGirlz Mentor Middle School TruthGirlz Mentor High School TruthGirlz Boutique TruthGirlz Prayer Team Crossroads Care Clinic Volunteer Other (elaborate below Other References Name (Spiritual Reference) * First Name Last Name Email * Phone * (###) ### #### Name (Professional Reference) * First Name Last Name Email * Phone * (###) ### #### Name (Personal Reference) * First Name Last Name Email * Phone * (###) ### #### Core Values * Please check each statment to demostrate that you are aware of and in agreement with the Crossroads Care Clinic Values and Statement of Faith. I believe that life begins at conception and matters deeply to God. I believe that sexual intimacy is a gift from God and honors Him when enjoyed in marriage. I believe the Bible to be the inspired, infallible, authoritative Word of God. I believe there is one God, eternally exsitent in three persons; Father, Son, and Holy Spirit. I believe in the Deity of our Lord Jesus Christ, in His virgin birth, in his sinless life, in bodily resurrection, in His ascension to the right hand of the Father, and in HIs personal return in power and glory. I believe that for the salvation of the lost and sinful man, regeneration by the Holy Spirit is absolutely essential, and that this salvation is received through faith in Jesus Christ as Savior and Lord and not as a result of good works. I believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life and to perform good works. I bvelieve in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation. I believe in the spiritual unity of believers in our Lord Jesus Christ. Date * MM DD YYYY Signature * I certify that the facts set forth in this application are ture and complete to the vest of my knowledge, and I authorize Crossroads Care Clinic to verify their accuracy and to ovtain reference information on my work performance and character. Thank you!
