Are you 18 years of age or older? Are you 18 years of age or older? Yes No

Do you have access to, and proficiency with, a personal computer, tablet or smart phone with internet and international access (e.g., Skype, Facetime)? Do you have access to, and proficiency with, a personal computer, tablet or smart phone with internet and international access (e.g., Skype, Facetime)? Yes No

Are you able to read, verbally discuss and write proficiently in the English language? Are you able to read, verbally discuss and write proficiently in the English language? Yes No

Do you have enough time to participate in the weekly 60-minute instructional session and to complete related homework (approximately 30 minutes/week) for a 4-week period? Do you have enough time to participate in the weekly 60-minute instructional session and to complete related homework (approximately 30 minutes/week) for a 4-week period? Yes No

Do you profess the Christian faith and are not an adherent of an alternative religion (e.g., Hinduism, Islam) or a Christian sect (e.g., Mormonism or Jehovah's Witnesses) or profess a secular philosophy of life that has equal or greater influence in your life as does Christianity? Do you profess the Christian faith and are not an adherent of an alternative religion (e.g., Hinduism, Islam) or a Christian sect (e.g., Mormonism or Jehovah's Witnesses) or profess a secular philosophy of life that has equal or greater influence in your life as does Christianity? Yes No

Do you want to learn scripture? Do you want to learn scripture? Yes No

Do you want to learn how to study the Bible? Do you want to learn how to study the Bible? Yes No

Do you prefer as a mentor? Do you prefer as a mentor? Male Female Does not matter

In a short paragraph, please share why you would like to participate.

First Name

Last Name

Location: (Your state/country/territory - so we can pair you with a teacher in the same time zone)

Number: ( No dashes (example 19998887777). Please provide your phone number for direct calls or What'sApp)

Email

How did you learn about this program? (Saw on Facebook, Google, heard from a friend, etc.)