Marriage Development Application

Class and groups are limited in size and are filled on a first come, first served basis. You will be notified of whether you have been placed in the class following receipt of your application and fee ($75 per couple), and review of your application by the Ministry Leaders.

HUSBAND'S INFORMATION

Husband's Name: *
First Name
Middle
Last Name
Husband's D.O.B.:*
Husband's Phone:*
Husband's Email:*

Questions for Husband to answer:

Has infidelity ever been an issue in your marriage*
Has or is pornography an issue in your marriage*
Drugs and/or alcohol*
Has domestic violence ever been an issue in your marriage*
Have you/spouse ever experienced sexual abuse*
Have you considered divorce*
Do you consider your marriage to be in crisis*

WIFE'S INFORMATION

Wife's Name: *
First Name
Middle
Last Name
Wife's D.O.B.:*
Wife's Phone:*
Wife's email:*

Questions for Wife to answer:

Has infidelity ever been an issue in your marriage?*
Has or is pornography an issue in your marriage?*
Drugs and/or alcohol?*
Has domestic violence ever been an issue in your marriage?*
Have you/spouse ever experienced sexual abuse?*
Have you considered divorce?*
Do you consider your marriage to be in crisis?*
Anniversary Date:*
Duration of current marriage:*
Number of children and ages of children from current marriage:
Number of children and ages of children from previous marriage/relationship:
What is your goal/vision for taking the Marriage Development class? *
How did you hear about the marriage development class (check all that apply): *
Payment: *
*