Student Renewal Application

222 STUDENT RENEWAL

Current Student Partnership Renewal Application Form

"*" indicates required fields

Are you currently a student partner of 222 Foundation?*

Sorry, this application is for current student partners only!

Congratulations! You are eligible to submit a renewal application.

Select your seminary*

First Name*

Last Name*

Personal Email*

School Email (if applicable)

Primary Phone Number*

Secondary Phone Number

Current Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Marital Status*

Name of spouse*

Do you have children?*

Names and ages of children*

Are you a US citizen?*

Country of Citizenship*

Do you have a valid student visa for this academic year?*

When are you scheduled to graduate?*

Did you take a semester break within the last 1 year?*

Will you take a semester break within the next 1 year?*

Specify your semester break (e.g., Fall 2025).*

Please upload the recent semester tuition statement (not more than 2 weeks old).*

Max. file size: 128 MB.

Please upload the most recent transcript or grade report file.

Max. file size: 128 MB.

Please upload the first two pages of your household’s Federal Form file. (Note: if your tax Forms are not available at the time of application please plan to email them to 222 by April 15.)

1040, 1040A or 1040EZ (and if applicable, my spouse’s). Please note SSN can be blacked out.

Max. file size: 128 MB.

Please upload current Visa documentation file.

(International Students only)

Max. file size: 128 MB.

Mentoring Feedback

Some questions involves rating how skilled or gifted you feel your mentor is in various categories: [We understand that you can only rate from your personal experience. Please try to rate a skill where possible, reserving the 'not observed' category for cases where there is no basis for assessment].

Do you currently have a mentor?*

Name of your Mentor*

When (month, year) is the last time you met with previous 222 mentor?*

Were you previously paired with a 222 mentor?*

Name of your previous 222 mentor?*

For how long have you been paired with your mentor?*

How many times did you met with your mentor in the past 1 year?*

222 Mentoring experience has impacted my life and my preparation for ministry*

In what ways has your experience with 222 Foundation impacted your life and your preparation for ministry.*

Do you feel inspired to mentor others (now or in the future) because of your experience with 222 Foundation?*

Very inspired

Somewhat inspired

Less inspired

Not Sure

Other

My mentor is an active listener*

Not at all

Moderately

Outstandingly

Not observed

On a scale of 1-10, how well do you feel your mentor knows you? (10 = "knows me very well" and 1 = "does not know me yet")*

My mentor provides constructive feedback*

Not at all

Moderately

Outstandingly

Not observed

My mentor identifies and accommodates different communication styles

Not at all

Moderately

Outstandingly

Not observed

My mentor works with clear expectations of the mentoring relationship

Not at all

Moderately

Outstandingly

Not observed

My mentor is consistent with meeting times/ schedules

Not at all

Moderately

Outstandingly

Not observed

My mentor is intentional about developing a relationship with me

Not at all

Moderately

Outstandingly

Not observed

My mentor nudges/pushes me to grow

Not at all

Moderately

Outstandingly

Not observed

My mentor is intentional about knowing me beyond our mentoring relationship

Not at all

Moderately

Outstandingly

Not observed

In what way(s) is your mentor intentional about knowing you beyond your mentor-mentee relationship?

My mentor understands his/her impact as a leader (or role model)

Not at all

Moderately

Outstandingly

Not observed

In which 2 of these areas do you need most growth in the upcoming semester?*

Personal Spiritual Growth

General Leadership

Staff/volunteer Management

Family and Marriage

Personal Finances

Accountability

Self-Awareness/Management

Shepherding and Discipleship

Personal Sin

In which 2 of these areas have you experienced most growth in this past semester? (check two)*

Personal Spiritual Growth

General Leadership

Staff/volunteer Management

Family and Marriage

Personal Finances

Accountability

Self Awareness/Management

Shepherding and Discipleship

Personal Sin

Please provide an example of an area you experienced most growth last semester as a result of mentoring.

Do you feel that your mentor meets your mentoring expectations?*

Not at all

Somewhat

All the time

Not observed

In what ways does your mentor meet or does not meet your expectations.

Kindly rate the overall quality of mentoring you currently receive (or previously received) from your mentor*

Low

Average

High

Not observed

Which 222 Foundation events were you able to participate in last year?*

Annual Golf Outing

Small Dinner Series (Fundraising)

Coffee/Lunch/Dinner with 222 Team

Represented 222 at an Event (e.g. Open Day)

Global Leadership Summit (GLS)

None ( I wasn't able to)

Would you be willing to go for a 222 sponsored trip to Israel when an opportunity arise?*

Yes

No

May Be

What suggestions do you have to improve the quality of 222 Foundation program?

Name

This field is for validation purposes and should be left unchanged.