Discipleship Registration

First Name

Last Name

Email

If you have a LinkedIn account, please add your profile link here.

Location

Phone Number

Are you a member of the Bloomers Community?
YesNo

Are you planted in a church?
YesNo

If you answered "yes" to the previous question, what is the name of the church you are planted in?

If your answer was "no", why are you not currently planted in a church? Select all that apply to you:
I am dealing with church hurt.I am currently looking for a church to call home.I cannot seem to find the perfect fit for me.I think church is not a building but the people around you.There is a scarcity of churches in my area.

Are you currently serving in your church?
YesNo

Which areas are you currently serving in?
HospitalityChildren's MinistryPastoral CareMedia and CommunicationsPlanning and EventsYouth MinistryWorshipOthers

What do you enjoy about serving in your church?

What challenges have you faced in your spiritual and personal journey? (e.g., strongholds, patterns, generational curses, etc.)

What area in your spiritual life do you need support and/or accountability for?
PrayerStudying the BibleFinding Christian CommunityFinding a church

Are you able to commit to a 6-month mentorship program?
YesNoMaybe

Are you able to pay a once-off commitment fee of K500 (R350/P250)?
YesNoMaybe

What areas would you like to grow or improve in?

Please rate your overall experience with mentorship in general:
No Experience At All12345Very Experienced

Please rate your overall experience with Christian mentorship:
No Experience At All12345Very Experienced

Do you have a laptop and access to stable internet?
YesNoSometimes

Do you have any further questions?

Please attach a photo of proof of payment (JPG, PNG, or PDF, max 2MB):