Oh dear..
It looks like we were unable to load the form.
You might like to try:
Refreshing the page
Checking your network connection
Using a different browser
Checking your browser settings and extensions
Loading the page in an incognito window
Contacting
Paperform Support
Mentoring Application
Tell me a little bit about yourself.
First & Last Name:
This question is required
Email Address:
This question is required
How can I help?
Please indicate what you'd like to work on with a mentor.
Establishing Safety
Grieving
Boundaries
Dealing with Feelings & Emotions
Trust & Forgiveness
Understanding Betrayal Trauma
Understanding Sexual Addiction
Post Traumatic Growth
Spiritual Formation/Direction
Other
This question is required
Please indicate what you'd like to work on with a mentor.
What kind of help have you received up to this point?
Pastoral Counseling
Therapy
Marriage Counseling
Church Group
Betrayal Trauma Group
Daily Disciplines™
Book Study Group
Other
This question is required
Is your partner in recovery?
Yes
No
Please choose an answer
If yes, what recovery work has he done or is doing?
Have you participated in a therapeutic disclosure?
Yes
No
Please choose an answer
Submit
Mentoring costs $495 per month and consists of 4 sessions per month. Each mentoring session is 90-minutes.
✕
Powered By Paperform
