Please fill out the following form in order to mentor at Agape.

First name

Last name

Phone

Address

1. What is your occupation? (if student, please give your major)

2. Do you have a home church? Name?

3. Briefly explain how and when you first began your walk with Jesus Christ.

4. Briefly describe things you are passionate about. (hobbies, interests, causes, etc).

5. What excites you about investing in the lives of others?

*Thank you for your interest in serving at Agape Center Lynchburg and taking the time to complete this application. Someone will contact you soon with direction on how to move forward in this process. Completion of this application does not guarantee becoming a mentor at Agape. Your talents and abilities may be more clearly needed in a different area within our Center.

Thanks for submitting!