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Online Teen Mentor Application

Name:

Last:

Email:

Street:

City:

State:

ZIP Code:

Country:

Your Age:

Are you a follower of Christ:

Yes, I am a woman who has a relationship with Jesus.

No, I am still spiritually seeking.

Please share briefly with Shelley about your relationship with Jesus:

Would you be willing to join our prayer team and receive updates:

Yes

No, thank you.

Are you interested in assisting with data entry and computer and website tech stuff:

Yes.

No

Are you willing to writing articles for this site:

Yes

No

Comments and Questions for Shelley:

We respect your email privacy

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