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Personal Information

First Name*

Last Name*

Address*

City*

State*

Zip Code*

Email Address*

Phone*

Country*

Gender

Date of Birth

If your national identity/citizenry is the United States, are you of Hispanic, Latino, or other Spanish origin?

If your national identity/citizenry is NOT the United States, please state your national identity/citizenry.

If your national identity/citizenry is the United States, which of the following describes your race?

Occupation

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Faith Information

Please read Leadership Edge’s Statement of the Gospel and answer the questions below.

We believe that the gospel is the central message of the Bible, the foundation of our faith, and the fuel for the Christian life. The gospel is the good news that while we were dead in our sin, God sent his son Jesus to live a perfect life on our behalf, die a substitutionary death to pay the penalty for our sin, and rise again from the grave to offer us new life in his Spirit.

Do you affirm your agreement with this Statement of the Gospel?*

Do you confirm that this Statement of the Gospel is an apt description of your faith in Christ?*

Do you affirm that you believe the Bible is the inspired and authoritative Word of God and is the primary guide for living the Christian life?*

What church do you currently attend?

Describe your involvement at your church.

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Mentoring Information

To become an LEI Mentor, we ask you to provide the name and email address of a pastor or elder who could serve as a reference for you, confirming your commitment to Christ.

Reference Name*

Reference E-mail*

How did you hear about LEI?

What are your expectations for Mentor Training?

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Faith Information

Mentoring Information

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