Prayer Partner Program -Mentor Form

Adult Mentor Registration Form

Your name *

Last name

Email address *

Phone number

Phone type

Address

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Is Redeemer Alliance Church your home church? *

Yes

Have you put your faith in Jesus Christ as your Lord and personal Saviour? *

Yes

Briefly describe your current relationship with Jesus: *

Why do you want to be a prayer partner *

Do you agree with the beliefs of Redeemer Alliance Church and the Christian and Missionary Alliance Statement of Faith?

You can view what we believe online at https://www.redeemeralliance.ca/about

Yes

Are you able to commit to regularly praying for and communicating with your assigned Partner for at least one year?

Yes

Are there any special concerns that would have an impact on your commitment and/or fitness to be involved in a prayer partner program (ex. time management, lifestyle, etc)

Yes

I would like to talk to someone about it

What are 3 of your interests or hobbies? *

(To help match you with your partner)

Is there a specific partner at Redeemer Alliance Church that you would like to pray for this year?

(We can contact them about their interest in the Prayer Partner Program) Although we will strive to honour requests, we cannot guarantee a match.

Please type your name below *

Your typed name indicates you have electronically signed this form and understand that this form will be kept indefinitely on file at Redeemer Alliance Church.

I have completed this form on the below date:

Thank you for your willingness to be a prayer partner!

If you have any questions or concerns, please do not hesitate to contact Barb Juett at 613-808-1073 or email bosserbarb@hotmail.com

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Redeemer Alliance Church
admin@redeemeralliance.ca
613-837-9953

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