MARRIAGE MENTOREE APPLICATION FORM

We are so glad you are interested in being matched with a marriage mentor couple who will commit to walking alongside you in your marriage.  You are making a great decision to get involved in this ministry.  Please take a moment to complete this brief form so we can make the best match possible for you. 

Name:___________________________________________________________

Address:_________________________________________________________

City:____________________________________________State:________Zip Code:____________________

Home Phone: ____________________________________Cell Phone:________________________________

Email:___________________________________________________________

Wedding Anniversary (including year) or projected wedding date:____________________________________

Children? 1Y  1N   If yes, provide ages and gender:______________________________________________

Previously married  1Y  1N    If yes, please explain:______________________________________________

________________________________________________________________

How would you rate your marriage?  11   12   13   14   15   16   17   18   19   110

                                                              Not Happy                                                             Very Happy

For which category are you seeking a marriage mentor?

1 Preparing for Marriage—(Counsel and guidance for engaged and soon to be engaged couples)

1 Maximizing Your Marriage—(Growing in communication, intimacy, and skills for a healthy marriage)

1 Repairing Your Marriage—(Resolving conflict, forgiveness, and healing of relationships)

In specific terms, what are you hoping that a marriage mentor couple will do for you?___________________

________________________________________________________________

________________________________________________________________

Do you have any unusual scheduling issues that may impact when you can meet with your mentors?

_______________________________________________________________

Please Return Completed Forms to:

Pastor Terry Cantrell

RiverStone Church

2005 Stilesboro Rd

Kennesaw, GA 30152

terry@riverstonewf.org