One Life One Year Mentor Sign Up

A GoStark Initiative

Thank you for your interest!

GoStark's "One Life One Year" initative welcomes people like yourself who are already investing in another person through a mentoring relationship! While our primary purpose is to connect potential mentors with those who need mentoring, One Life One Year also provides a support structure that you might find valuable.

By completing the simple form below, you will be added to the list of mentors in Stark County receiving regular updates and encouragement.

Thank you,
Jason Lantz
One Life One Year Coordinator
jason@lovecanton.com
330-844-1394

Go Stark

Name

First Name*

Last Name*

Home Church

Required*

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

Mentoring Role

Required*

Please describe your current mentoring role.

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*