Mentor Program Application

If you would like to be a part of our Mentor Program, please complete the application on this page! Your completed application will go to our Director of Survivor Care, who will then connect with you. Our goal is to always have extra Mentors trained and ready for Mentees as they are referred to us, so we hold multiple trainings each year.

First Name *

Last Name *

Age *

Address *

Phone Number *

Email *

Names and contact phone numbers for two non-family references: *

Have you ever served with Reclaiming Hope? If so, how? *

On a scale of 1-5, 1 being "This is brand new to me" and 5 being "Very educated," how would you categorize your current understanding of sex trafficking? *

Tell us briefly about your family (spouse, kids): *

What does Jesus Christ mean to you? *

Where do you currently attend church? *

Please describe any professional or life experiences that you feel may contribute to this service, to include other languages spoken: *

Are you more of an introvert or extravert? *

When things get tough, what are your typical coping mechanisms? *

What are some of your hopes and expectations regarding the Mentor Program? *

What are your initial questions regarding the Mentor Program? *

What are some activities you enjoy in your free time? *

On a scale of 1-10, how would you rate your current overall emotional well-being, and why? *

On a scale of 1-10, how would you rate your current overall spiritual well-being, and why? *

On a scale of 1-10, how would you rate your current overall physical well-being, and why? *

Who in your life is a reliable support in the above areas? *

Have you experienced abuse of any kind in your past? If so, describe your healing journey. *

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Are you a victim of trafficking or do you have a concern to report?

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