Mentor Application

You may apply as a mentor for a Whitefield Theological Student using one of the following methods:

1. Offline Application to Mail | Open PDF
The mailing address is at the bottom of the application.

2. Online Application | Use the following form:

Personal Information
Name*
Prefix First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Age*
Email*
Is there a familial relationship with the student?*
- No
- Yes
Specify Familial Relationship
Employment Information
Employer*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years with this employer*
Position Held*
Ecclesiastical Information
Name of Church*
Denominational Affiliation*
Church Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Pastor's Name*
Prefix First Last
Church Phone*
Educational Information
Highest degree attained*
Major*
Graduation Year*
College / University / Seminary*
Affirmations
I am willing to server as mentor for*
Prefix First Last
I understand that Whitefield Theological Seminary is not responsible for the payment of fees to the mentor. Such fees, if any, should be arranged between the student and mentor.*
- Yes
- No
Signature of Mentor*
Date*
MM slash DD slash YYYY

Personal Information