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The Village Intake Form
Full Name
*
Email
*
Phone Number
*
Preferred method(s) of communication
*
Text
Email
Phone call
Age
*
How would you describe your current season of life?
*
Are you applying to be a mentor, a mentee, or both?
*
Mentor
Mentee
Both mentor and mentee
What is your hope in joining this group?
*
Are you able to commit to meeting with your mentor/mentee twice a month for one hour each time?
*
Yes
What are your preferred meeting times?
*
Is there anything in particular you would like for us to know or are there any questions or concerns you have?
Submit
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True Story Coaching
Lubbock, Texas
tori.j.swenson@gmail.com
© True Story Coaching │ Tori Swenson