Parenting Mentor Request - Harvest Church

Phone number *

Spouse's name, phone number, and email

Address *

Kid(s) and their age(s) *

Are you a member of Harvest Church? *

Yes

No

Primary campus

Are you currently in a Life Group? *

Yes

No

What are the times that work best for you to meet? (i.e. Monday and Thursday evenings, Saturday mornings) *

Why are you requesting a parenting mentorship? *

How do you hope this mentorship will benefit you? *

What are some of the challenges you face as it relates to your parenting? *

What are the strengths of your parenting? *

What are the weaknesses of your parenting? *

Briefly describe how you were parented. *

What are some resources, books, or people who have influenced or impacted your parenting? *

At the end of the mentorship, we require that you write a summary of the experience and what you have learned and plan to put into practice. Do you agree to write this post-mentorship summary? *

Yes

No