Marriage Mentoring

MARRIAGE MENTORING REQUEST FORM

Husband
Marriage mentoring is for couples who need just a little help, couples who are in great crisis and feel hopeless, and any couple anywhere in between.

Marriage mentors will help you identify key areas of concerns using an online couple's diagnostic survey. They will carefully help you navigate through issues derived from the survey. The weekly sessions will last up to 10 weeks and are approximately 1.5 hours long. Mentoring most often occurs in the home of the mentors.
Personal Information
Husband Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday*

MonthDayYear
Date
How long have you been married to your current spouse?*
Why do you want to be mentored?*
Religious/Spiritual Information
Check the answer that best describes you spiritually...*

Seeker/not yet a Christ followerNew ChristianCommitted ChristianAgnosticI'm not sure what I believe
Check the answer that best describes your church attendance . . .*

I attend church regularlyI attend church sometimesI do not attend church
When you attend church, where do you attend?*
This question is for informational purposes only. You do not have to attend GT Church to receive marriage mentoring.

Children
How many TOTAL children do you and your spouse have?*
Count any children that you and your spouse have together AND children that you each have with someone else.
Please list the first name and age of any children that you and your spouse have together AND any children that you each have with someone else.
How many children do you and your spouse have TOGETHER?*
Count only children that you and your spouse are BOTH the parents of.
How many children do YOU have with someone other than your spouse?*
Count only children that you and your spouse are BOTH the parents of.
How many children does YOUR SPOUSE have with someone other than you?*
How many children live in your home?*
Count only children that you and your spouse are BOTH the parents of.

MARRIAGE MENTORING REQUEST FORM