Mentoring Class Registration

Which De Pree Center program do you want to register for?*

Please note that you can only sign up for a De Pree Center program one at a time. To sign up for multiple programs, for instance the Alongside Mentoring Class and the Road Ahead cohort, please fill out this form once per program.

Alongside Mentoring class
Go the Distance cohort
Road Ahead cohort
Third Third Flourishing cohort

Contact & Demographic Information

Name*

What is your email address?*

What is your cell phone number?*

This is in case we need to get a hold of you during the program.

What is your address?*

This is so we can mail you your welcome package.

What is your birthdate?*

What is your gender?*

What is your race/ethnicity?

This helps us monitor group composition to ensure cohorts are a safe and hospitable space for all participants. If you are uncomfortable answering this question, please leave it blank.

What is your job/profession/industry/background?*

Program Information

De Pree Center program dates, times, and other details will be announced in the near future. Please contact connect@depree.org for more information.

Which of the following best describe(s) you? (For Alongside Mentoring class)

Select all that apply.

I'm curious about becoming a mentor and want to learn more.
I'm eager to become a mentor but aren’t sure what to do.

Which class option would you like to register for?*

Not sure what's the difference between the price options? Visit this page and scroll down to the "Cost & Scholarship Information" section.

Option 1: Class Only, $75/Participant
Option 2: Class and Kit, $125/Participant

Which Road Ahead cohort types generally interest you?

Please select all that apply. This is in case we can't place you in a cohort you want. For a list of cohort descriptions, visit the Road Ahead page .

All Professionals
Creative Professionals
Diversity, Equity, and Inclusion
Ministry Professionals
Boomers
Women Professionals

Which of the following best describe(s) you? (For Road Ahead)

Select all that apply.

I'm feeling stuck.
I'm in a vocational crisis.
I'm in (or about to begin) a season of transition.
I'm asking big "what's next" questions.
I have questions about what God is calling me to do.

Which of the following best describe(s) you? (For Go the Distance)

Select all that apply.

I'm feeling weary.
I'm burned out.
I need a boost or motivation to keep going.
I'm trying to discern God's calling in this season of life.
I feel stuck.
I'm in a season of transition.

Which of the following best describe(s) you? (For Third Third Flourishing)

Select all that apply.

I'm in or entering the third third of life (approx. 55+).
I'm wondering what my purpose should be in the third third of life.
I'm in or approaching retirement.
I'm seeking a biblical perspective about growing older.
I want to learn some practices that can help me thrive in this season.
I want to flourish, to live fully, fruitfully, and faithfully in this season of life.

Why do you want to be part of this program?*

For instance, you can talk about: What needs do you have? What hopes? What would you like to learn? What would you like to experience?

Have you participated in any of the following?*

Please select all that apply.

Alongside Mentoring Class
Flourishing in the Third Third of Life Course
Go the Distance Cohort
Road Ahead Cohort
Third Third Flourishing Cohort
I have not participated in any of these.

Scholarship Information

The De Pree Center has partial scholarships available to those who need it. Would you like to apply for one?*

Please note that scholarships for the Alongside Mentoring class and Third Third Flourishing cohorts are limited and may take additional time to be awarded.

Yes
No

What was your total household income before taxes during the past 12 months?

Please note: income level will not be used to determine scholarship amounts but are for future planning purposes.

Less than $25,000
$25,000 - $49,000
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 or more

How much can you afford to pay for your participation in the program?

Please let us know any other relevant information regarding your request for a scholarship.

Would you like to provide a scholarship to someone else in need?*

Yes
No

How much would you like to give?

By filling out this question, you are not committing to anything. You are merely expressing your interest, and one of our staff will reach out to you to discuss.

For more information about how to donate, please visit https://depree.org/donate.

Everything Else

Would you like to receive De Pree Center content via our email newsletters?*

Yes, please sign me up!
No, please do not send me emails.
I already receive De Pree Center email newsletters.

Which newsletter(s) would you like to receive?

Please select all that apply.

For more information about our newsletters, please visit https://depree.org/subscribe/.

Faith, Work, and Leadership (sent twice a month)
Life for Leaders Daily Devotions (sent daily)
Third Third Life (sent once a month)
Women Professionals (sent once a month)
Church Leadership Institute (sent once a month)

How did you hear about this program?*

Please select all that apply.

De Pree Center Newsletter
De Pree Center Website
De Pree Center social media (LinkedIn, Facebook, Instagram)
Word of Mouth
Your church
Referred from a partner organization (such as 4word or ECC)
Other

If you selected "your church," "partner organization," or "other," please let us know how you heard about this program.

Anything else you'd like to let us know about your registration?

Agreement Between You and the De Pree Center

Your submission of this form creates an agreement between you and the De Pree Center (DPC) as to the following provisions, which take effect when you participate in the program:

1) Your participation in the program is a group experience, facilitated by an official De Pree Center guide who will partner with you a thought-provoking and creative process that inspires you to develop your God-given personal and professional potential.

2) With your fellow travelers and your guide, you agree to participate openly and honestly in group conversations, and to respect the confidentiality of everyone’s personal information discussed in the group.

3) Your individual conversations with your De Pree Center guide/coach will be kept confidential. However, please be aware that a coaching relationship is not considered a legally confidential relationship (like the medical and legal professions); therefore, one-on-one communications with your guide/coach are not subject to the protection of any legally recognized privilege. Your guide/coach will not disclose your private information to anyone without your written permission, except as required by law, such as to protect you or another person from harm.

4) Your guide will encourage, coach, and support you, but the journey itself belongs to you. As you listen for God’s voice and discern your steps, you accept full responsibility for yourself and any actions you may take that might result from your group experience.

5) I authorize DPC at Fuller Theological Seminary (FTS), and those acting pursuant to its authority, a non-exclusive, perpetual, royalty-free, worldwide, freely assignable and sub-licensable license to record my participation and/or likeness on a photographic, digital, electronic, hosted media, web-based service or any other medium; use my recorded likeness on a photographic, digital, electronic, hosted media, web-based service or any other medium; use my name and identity in connection with these recordings; use, reproduce, exhibit, or distribute in any medium (e.g. print publications, Internet) my recorded likeness on a photographic, digital, electronic, or any other medium, without restrictions or limitations, for any educational or promotional purpose which DPC at FTS and those acting pursuant to its authority deem appropriate, including promotional or advertising efforts.

6) I release DPC at FTS and those acting pursuant to its authority from liability for violation of any personal, intellectual (including (without limitation) copyright) or proprietary rights I may have in connection with uses of the likeness and recordings authorized above. I waive any right to inspect or approve the final use(s) of the photographic, digital, electronic recordings or any other medium. As to the photographic, digital, electronic images or recordings itself, or any other medium, I understand and agree that DPC at FTS shall have exclusive ownership of the copyright and other proprietary and property rights in the work.

Confirmation (Type in your name)*

By typing in your name, you agree to the statements above.

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Step 1: You register.

Step 2: You pay.

Step 3: We’ll confirm your participation.

Register Here!

Contact & Demographic Information

Program Information

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Everything Else

Agreement Between You and the De Pree Center

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Alongside Mentoring Class / Mentoring Class Registration

Alongside Mentoring Class Registration

Ready to Register?

Step 1: You register.

Step 2: You pay.

Step 3: We’ll confirm your participation.

Register Here!

Contact & Demographic Information

Program Information

Scholarship Information

Everything Else

Agreement Between You and the De Pree Center

What Happens Next?

Contact

Resources

Experiences

About Us

Stay Connected

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