My Vineyard Columbus - Life Support Mentoring Initial Evaluation Form

CARE - LSM - Initial Evaluation Form

First Name *

Last Name *

Cell Phone

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Allow Texting

Email *

Mentee Name

Date of First Meeting

How often do/did you meet?

Is the mentee in a Vineyard Columbus small group?

YesNo

Is the mentee regularly serving in some capacity at Vineyard Columbus?

YesNo

Does the mentee have a healthy support system? (friends, family, etc.)

YesNo

Do his/her reasons to receive mentoring align with what was communicated in the application?

List the collaborated goals:

In what ways do you feel equipped to care and lead the mentee through Life Support Mentoring?

In what ways do you not feel equipped?

Do you need further follow up with Support for Life pastoral staff on how to move forward with the mentee?

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