Marriage Takeover™ Marriage Coaching Certification Application

Your Name*

First NameLast Name

Spouse Name*

First NameLast Name

Your Email Address*

example@example.com

Spouse Email Address*

example@example.com

Best Number*

Area CodePhone Number

Are you a born again believer in Jesus Christ?*

What does Kingdom-minded mean to you?*

How long have you been married?*

This program is a 12 month commitment, are you willing to commit the full 12 months?*

YesNo

Why do you want to become a certified Marriage Coach?*

What's your annual household income?*

We are offering our full program and this requires an investment. Are you willing to invest over $15k to start your Career Coaching practice at this time?*

YesNo

All Couples Must Comply to the Following:

All couples must complete all assigned reading and homework on time.
All couples must arrive on time to each training.
All couples must attend the virtual intake process.

Final Acknowledgement

The purpose and goal of Marriage Takeover® marriage coaching is based on the word of God. We believe that having a relationship with God and Him being the source of your marriage is the KEY ingredient to its success.

We partner with only the best Therapist and Coaches to ensure you're served at a high level. If accepted into our program you will recieve our Framework, we'll train you with real life scenarios, we'll offer coaching opportunities for you to gain your volunteer hours, we'll certify you as Marriage Coaches and if you're affiliated with a church we also license our Marriage Coaching Certification Program to churches.

We are licensed and ordained Pastors, certified Coaches and with our team provide the best blend to support your needs.

Marriage Takeover®, its employees, affiliates or subsidiaries will not be held liable for any damages should your marriage end as a result of any of our programs.

I will not hold Eric & Temeka Thompson, Marriage Takeover®, its Staff, Therapists or mentors responsible or liable for anything whatsoever connected with the biblical instruction/counsel we are to receive.*

I agree

Signature*

Date Signed*

Date