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INTAKE FORM
WORTHY IN GOD GENERAL INTAKE FORM
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PROGRAM AREA YOU ARE SEEKING
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Entrepreneurship Guidance
Mentorship Program
Personal Development
Spiritual Support
Youth Programs
Community Events
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About You
What made you reach out to Worthy in God?
Are you currently working, in school, or an entrepreneur?
If youth: Are you in any sports, clubs, or extracurricular activities?
What challenges are you currently facing?
What support are you hoping to receive from Worthy in God?
FAITH & VALUES
How would you describe your current faith walk?
Are you open to faith-led mentorship, guidance, and prayer?
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No
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GOALS
List your top goals for the next 6 months:
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How can Worthy in God support you in these goals?
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CONSENT
Are you willing to participate fully and communicate consistently?
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No
Can you pass a background check (for youth & mentorship)?
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I would like to discuss with a team member
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