One Life One Year Mentor Sign Up

A GoStark Initiative

Thank you for your interest!

Thank you for your interest in investing in an elderly person through a mentoring relationship! Please fill out the simple contact form below and I'll contact you within the next week to explore your options through the Companions Ministry.

Thank you,
Beth Kinckaid
One Life One Year Connecting Partner
companions@rivertreechristian.com

Go Stark

Name

First Name*

Last Name*

Home Church

Required*

Please be specific. If you do not have a home church, please enter "none."

No spam from us, we promise. Just occasional One Life One Year updates and support.

Phone

Best time to contact you

	Morning
	Afternoon
	Evening

Snail Mail

Street 1

Street 2

City

State

Zip

Other contact method

Facebook, etc.

Are you interested in becoming a GoStark advocate in your congregation?
Required*

	Yes
	No

For security purposes, please enter the two words that appear in the box below. Required*