Kaleo Mentor Application

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Gender*

Male
Female

Best way to contact you:*

Best time and/or day to contact you:*

Current Employment*

Time at Location*

Employer's Name*

Employer's Phone Number*

Church Name*

Church Address*

Street Address City State ZIP Code

Pastor's Name*

Pastor's Phone Number*

What is your involvement at your church including roles, years of service etc.*

Please explain when and how you began your relationship with Christ. What is your current walk like?*

Why are you interested in being a mentor and what are your expectations as a mentor in Kaleo?*

Please explain your relationship history with the student who approached you to be their mentor.*

Thank you for agreeing to participate in Kaleo Academy as a Mentor. Your role to this program is extremely important. We will be contacting your church to verify that you have a background check on file with them. Please let us know if you have any questions or concerns about being a Mentor with Kaleo Academy.

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Phone

This field is for validation purposes and should be left unchanged.