Renovación Pastoral: Application for Mentors

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* 1. Check whether you are applying as an individual Pastor Mentor, or as a Pastor Mentor couple with your spouse. Note that as a Pastor Mentor couple you will be meeting with a Pastor Mentee along with his or her spouse.

I am applying as a Pastor Mentor.

My spouse and I are applying as a Pastor Mentor couple.

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* 2. Name and Title - If you are applying as a Pastor Mentor couple please write down both of your full names.

Name

Title

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* 3. Home Address

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* 4. Church or Ministry Name

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* 5. Church or Ministry Address

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* 6. Phone - Best number to call or text.

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* 7. Email. If you are applying as a Pastor Mentor couple please enter both of your email addresses.

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* 8. If you're still active in ministry, describe the mission and purpose of your church or ministry. What are your responsibilities and how does your work accomplish that mission and purpose? You may include with your application any publications that may help the selection committee understand your ministry.

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* 9. Total number of years that you have served as a Pastor.

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* 10. List the churches and/or ministries which you have served as Pastor, and how many years at each.

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* 11. How have you formally (or informally) mentored other Pastors, and for how many years?

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* 12. Describe how you have worked across denominations or beyond your denomination.

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* 13. Participation as a mentor in the Renovación Pastoral program requires meeting with your assigned Pastor mentee once every other month in person and every other month via phone or video. Are you able to fulfill this commitment without it negatively impacting your family or spiritual health?

Yes

No

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* 14. I have reviewed the participation requirements for Renovación Pastoral program. I have the support and encouragement of my family and my church or ministry to participate in this program.

Yes

No

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* 15. Please provide the contact information for 2 references character and ministry references.

Reference #1; Name, email and phone number.

Reference #2; Name, email and phone number.

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* 16. I voluntarily give authorization for a thorough investigation of all statements and references on this application and of my ministry or related activities. I release from all liability and responsibility all persons and employers requesting or supplying such information and waive any right to notice of such disclosure.

Your Name