Mentorship Enrollment Form:

Please fill out the short questionnaire form ONLY if you are enrolling into the Mini-Mentorship with Elizabeth Knowles.
This form helps Liz get some basic information about you before your first meeting. Please be as honest and transparent. Only Elizabeth will see this form. Thank You!

(As soon as you submit your questionnaire form, you will be redirected to a payment area where you can choose your payment plan. Mentorship enrollee spots will not be solidified & confirmed until payment is received.)

Name

First Name

Last Name

Email

Phone

(###)

###

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Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your personal salvation story?

Share with me about your family. Are you married, single, divorced, children, etc?

Please tell me about your current walk with God and relationship with Him.

What do you site is your biggest emotional or spiritual struggle that you have challenge overcoming?

Have you experienced any hurts, disappointments, trauma, or abuses that you would like to share?

Do you have any substance struggles such as food, alcohol, medications, nicotine etc?