The Covenant Application

1

What's your full name?* This field is required.

First Name

Last Name

2

And the name of your partner?* This field is required.

First Name

Last Name

3

What email can I reach you at?* This field is required.

example@example.com

4

Phone Number* This field is required.

Country Code

Phone Number

5

What is your age?* This field is required.

6

Are both partners aware that this application is being submitted?* This field is required.

Yes, we are both aware and interested.

Yes, but one of us feels more ready than the other.

Not yet, I am exploring first.

No.

7

What inspired you to apply for this couple's mentorship container?

8

What season are you currently navigating in your relationship?e.g., rebuilding trust, deepening connection, navigating distance, redefining commitment, etc.

9

How long have you been together, and what is the current status of your relationship?* This field is required.Examples: dating, engaged, married, separated, co-parenting, in rupture, rebuilding trust, discerning the relationship.

10

What is the primary challenge or rupture bringing you to The Covenant right now?* This field is required.

11

What pattern keeps repeating between you?* This field is required.You may name anything you already recognize: pursuit/withdrawal, defensiveness, shutdown, criticism, resentment, betrayal, emotional distance, broken agreements, over-functioning, collapse, loss of intimacy, conflict around parenting, money, sex, leadership, trust, or repair.

12

When the pattern takes over, what does each partner tend to do?* This field is required.For example: one pursues while the other withdraws, one attacks while the other defends, one over-functions while the other collapses, one seeks closeness while the other braces against pressure.

13

What has this pattern cost your relationship?* This field is required.Consider emotional safety, trust, intimacy, polarity, parenting, home life, faith, shared mission, nervous system capacity, or the future you are trying to build.

14

What have you already tried to repair or improve the relationship?* This field is required.Examples: therapy, coaching, retreats, communication tools, books, prayer, separation, agreements, conflict practices, individual healing work.

15

If this work was deeply successful, what would be different in your relationship six to twelve months from now?* This field is required.Please be specific. What would repair, trust, intimacy, leadership, communication, emotional safety, sacred union, or shared legacy actually look like?

16

What do you believe your relationship is here to become if the old pattern no longer leads?

17

How ready are both partners to take responsibility for their part in the pattern?* This field is required.

We are both ready and willing.

One of us is more ready, but both are willing.e option 2

We are interested, but responsibility still feels difficult.

One of us is mostly looking for the other to change.

18

Are there any active conditions I should know about before considering this work?This information is confidential and will not be mentioned without your explicit permission,

Ongoing betrayal or dishonesty

Active addiction

Coercive control

Physical violence

Severe untreated mental health crisis

Legal separation or custody conflict

One partner feels pressured to participate

None of the above

Other

19

Are you currently willing and able to invest in a high-touch couples mentorship container if it is the right fit?* This field is required.

Yes, we are ready to invest if it is the right fit.

We are seriously considering the investment and want to discuss fit.

We are interested, but finances may be a significant obstacle.

We are not currently prepared to invest.

20

Which pathway are you most interested in?* This field is required.

The Covenant Hybrid Path — couples sessions + individual sessions for each partner

The Couples Path — joint couples sessions only

I am not sure and would like guidance

21

How would you describe your current level of emotional safety and trust with one another?

Strong and grounded

Wavering, but growing

Fragile or inconsistent

In need of deep repair

22

How do you currently nurture your connection to God / Source / Spirit as a couple (if at all)?

23

Are you both willing to take responsibility for your own emotions, projections, and patterns?

Yes, we both are ready

One of us is ready; the other is unsure

We’re both willing, but scared

Other

24

Are you prepared to invest financially, emotionally, and spiritually in this 3–6 month mentorship journey, if we both determine we're a fit?* This field is required.

YESNO

25

Please schedule a 45 minute Discovery Call with me below, where we'll dive deeper into your answers to the above questions and I'll share more specifics above my mentorship container:* This field is required.

26

What would transformation look and feel like for your relationship six months from now?

27

Is there anything else you want me to know before our discovery call?* This field is required.