The Right Course Participant Application Form
Thank you for trusting "The Right Course" with this part of your journey. This questionnaire is designed to help us get to know you better so we can understand your values, experiences, and relationship goals. There are no right or wrong answers. Simply answer honestly and authentically. Everything you share will be treated with care and confidentiality.
Personal Information
Full legal name
*
First Name
Middle Name
Last Name
Previous names or aliases
Preferred name or nickname
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
City of residence
*
State of residence
*
Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email address
*
example@example.com
Occupation
Employer
Highest level of education completed
*
Please Select
No formal schooling
Primary school
Middle school
High school diploma or equivalent
Some college
Associate degree
Bachelor's degree
Graduate degree
Professional degree
Other
Relationship Status and Intentions
Current Relationship Status
*
Please Select
Never married
Divorced
Widowed
Legally separated
Currently Legally Married?
*
Yes
No
Currently in a Committed Romantic Relationship?
*
Yes
No
Ongoing Domestic Disputes or Custody Battles - Details
Authorize Background Check?
*
Yes
No
Course Intent and Timing
Primary goal for joining the course
*
Please Select
Find a serious relationship
Meet compatible people
Learn relationship skills
Explore dating with intention
Other
How soon are you hoping to be in a serious relationship?
*
Please Select
Immediately
Within 3 months
Within 6 months
Within 1 year
Not sure
Are you open to long-distance dating?
*
Yes
No
How did you hear about The Right Course?
Please Select
Friend or family
Church or faith community
Social media
Website or search
Advertisement
Other
Why do you consider yourself a good candidate for The Right Course?
*
Faith and Spiritual Life
Do you consider yourself a spiritual person and what does that mean to you?
*
Yes
No
Not sure
Please explain your answer
Do you believe in and follow the teachings of Jesus Christ?
*
Yes
No
Other
If other, please describe
How would you describe your current faith or spiritual beliefs?
Please describe your faith journey
How actively do you practice your faith?
*
Consistently
Somewhat
Not currently
What do you turn to spiritually for stress relief, guidance, or direction?
Prayer
Scripture
Church community
Meditation
Counseling
Family and Friends
talking to the ancestors
Journaling
Nature
Other
Church or faith community affiliation
How important is shared faith in a future marriage?
Please Select
Very important
Important
Somewhat important
Not important
Unsure
Are you open to premarital counseling from a biblical perspective?
*
Yes
No
Family and Lifestyle
Do you have children?
*
Yes
No
Do your children live with you?
Yes
No
Part time
Are you open to dating someone who has children?
*
Yes
No
Depends
If needed, please explain your answer about dating someone with children
Do you smoke or vape?
*
Yes
No
Occasionally
Alcohol use
*
Please Select
None
Social
Moderate
Heavy
Top three hobbies or interests
*
What did your last relationship teach you?
*
How do you handle conflict in relationships?
*
What area of personal growth are you currently working on?
*
How do you show love to a partner?
*
How do you prefer to receive love?
*
Have you participated in counseling or coaching?
*
Yes
No
Is there anything in your background we should be aware of?
Match Preferences and Compatibility
Preferred minimum age of match
*
Preferred maximum age of match
*
Preferred maximum distance from you (miles)
*
Open to different Christian denominations?
*
Yes
No
Top three qualities desired in a spouse
*
Nonnegotiable in marriage
*
Willing to participate in coaching or workshops?
*
Yes
No
Prepared to invest time and effort into intentional dating?
*
Yes
No
Certifications and Electronic Signature
I certify that the information provided is true and complete
*
Yes
I understand that false information may result in removal from the program
*
Yes
I certify that the information provided is true and accurate
*
Yes
I acknowledge that acceptance is at the program's discretion
*
Yes
Electronic signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
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