Mentor Application - Kicking Bear Foundation

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

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Phone

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

Mentor*

First Middle Last

Birth Date*

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

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):

Please provide at least one personal reference we can contact on your behalf. Include name, email and phone number.