Premarital Discipleship Request

Premarital Mentoring Intake Form

Consent to Premarital Mentoring / Counsel Guidelines (Please read and sign)
Our Approach

We believe that the Bible provides thorough guidance and instruction for faith and life. Therefore, we base our discipleship and counseling on Scriptural principles rather than those of secular psychology and psychiatry. Neither the pastoral nor the lay disciplers/counselors of this church are trained or licensed as psychotherapists or mental health professionals, nor should they be expected to act in such capacity.
Our Goal

Eastmont’s premarital discipleship explores each person’s faith and history as it helps the couple examine personal convictions, expectations for their future, and responsibilities they will have in accordance with God’s Word. More than anything, our goal in premarital discipleship aims to help lay the foundation for a covenant-marriage that is biblical and God-honoring.
Our Prerogative

At any time during the process, for reason(s) sufficient to him / her, the pastor or lay discipler / counselor shall have the option of terminating the sessions.
Our Commitment to Confidentiality

Confidentiality is an important aspect of our pastoral care process, and our pastors and lay disciplers / counselors will carefully guard the information you entrust to them. To ensure that you are receiving consistent counsel and support, however, the counselor(s) may encounter times when they will need to discuss your situation with church leaders such as other pastors and elders within the church. Information disclosed in the sessions will be held confidential to the extent that either the pastor or the lay discipler /counselor believes the Bible or the State requires. Absolute confidentiality is not Scriptural; for instance, matters of church discipline (cf. Matthew 18:15ff), or criminal incidents, may require the counselor to divulge information to others.
Your Commitment to Confidentiality

You too must agree not to discuss our communications with people who do not have a necessary interest in the discipleship / counseling process. Furthermore, you must agree that you will not attempt to force any counselor to divulge any information acquired during the counseling process or to testify in any legal proceeding related to the issues discussed during the counseling process.
Our Fee

All discipleship and counseling is done free of charge as a ministry of Eastmont Church. If you have any questions about these guidelines, please feel free to call and speak with a member of our pastoral staff. If these terms are acceptable to you, please sign below and complete the following form.
Signature*

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Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Fiance's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Current Relationship*
How long did you date before you were engaged?*

Are you and your fiancé both believers and followers of Jesus Christ upholding the Christian faith?*
Do you attend Eastmont Church?*
How Long*
Where do you attend?*
Does your Fiancé attend Eastmont Church?*
How Long*
Where does he/she attend?*
How often do you attend church?*
How and when did you come to faith in Christ?*
How would you describe your faith and your walk with the Lord?*
Do you and your Fiancé share the same faith in God?*
Briefly explain:*

How long have you and your fiancé been dating?*
How often do you see each other each week?*
What are the types of activities you engage in while dating?*
Are you often alone when dating or with other friends / family?*
Are you engaged in sexual activity?*
How did you and your Fiancé meet?*
What attracted the two of you to want to be together?*
Why do you want to be married?*
Why are you seeking premarital discipleship? What specific goals do you hope to achieve and key topics you want to address?*
Do you have a Wedding Date?*
Date of Wedding*

MonthDayYear
Date
Have you and your fiance discussed having children?*

Have you had any conflicts / arguments while dating*
How were these addressed and resolved?*
Have you been married before?*
Are you widowed or divorced?*
Please briefly explain the reason for your divorce.*
How long were you married?*
The date your divorce was final.*
Do you have children from your previous marriage?*
Child Information*
Has your Fiancé been married before?*

Fiancé's Previous Marriage Information
Are you widowed or divorced?*
Please briefly explain the reason for your divorce.*
How long were you married?*
The date your divorce was final.*
Do you have children from your previous marriage?*
Child Information*

Do either you or your fiancé have past entanglements from previous relationships?*
Please explain*
Are your parent's and the parents of your Fiancé fully supportive of your relationship and plans to marry?*
Please briefly explain.*
Is there any other pertinent information we should be made aware of?*
Please explain*

Divorce and Remarriage

The following link provides access to an article regarding Divorce and Remarriage publishedthrough the Distinctive series published by Grace Community Church. https://www.gracechurch.org/about/distinctives/divorce-and-remarriage
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Premarital Mentoring Intake Form

Our Approach

Our Goal

Our Prerogative

Our Commitment to Confidentiality

Your Commitment to Confidentiality

Our Fee

Fiancé's Previous Marriage Information

Divorce and Remarriage