Education for Ministry

62 Herewini St, Titahi Bay, Porirua 5022

Phone 021 246 0672

2027 Enrolment Form
Mentor or Co-mentor
(Full Year Program)

Title

Name

First

Last

Address (Street and Town)

Postcode

Phone

In Phone Postcode

Email

Date of Birth

Denominaton

Occupation

Group / Mentor

Role

Mentor
Co-mentor

Year You Are Enrolling In

I have read the letter “Expectations of Mentors” and I agree to abide by it. I agree to my name and email address being shared with The University of The South.

I agree to the above conditions

Yes

Education for Ministry

2027 Enrolment Form Mentor or Co-mentor (Full Year Program)

2027 Enrolment Form
Mentor or Co-mentor
(Full Year Program)