Petra Church

STRONG27 Protege Application

PROTEGE APPLICATION

Protege Name*

Date of Birth

Email*

Confirm Email*

Cell #*( ) -

Marital Status*

Children (Names & Ages)*

Occupation/Employer*

Hobbies/Interests*

Why do you desire to have a mentor?*

Describe your relationship with God?*

What are your most important life goals right now?*

Think about your faith, family, friends, fitness and finances. Which areas are going well? Which areas need attention?*

In your opinion, what are two primary areas in which you need to experience growth over the next 12 months?*

Commitment*

I will attend the Mentorship Training Camp on Saturday, March 9, 8:00am

I understand there is a 12 Month commitment

I understand there is a cost of $60 to $110/man which includes the Starter or Full Mentorship Kit and the "Celebrate the Wins" event at the end of the 12 months

Mentor Info*

I have invited a man to be my Mentor

I haven't yet invited a man to be my Mentor

I would like to be paired with a Mentor

(Choose One)

Please leave this field blank.

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