Marriage Mentoree Application Form

We’re so glad you are interested in being matched with a marriage mentor couple who will commit to walk alongside you in your marriage. Please complete this brief form so we can make the best match possible for you.

Your name *

Last name

Email address *

Phone number *

Phone type

Address *

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Marital status *

Anniversary date *

Household members

For which category are you seeking a marriage mentor couple? *

Preparing Marriages: Building solid foundations for engaged and newlywed couples.

Maximizing Marriages: Deepening and enriching stable marriages.

Repairing Marriages: Encouraging couples in distress.

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

We want to match you with a mentor couple with whom you have some similarities. *

Please check all the statements below that are true for your marriage history that will help to match you with a marriage mentor couple.

We married late in life (35 years or older)

We married young (under 20 years of age)

This is a second marriage

We have a large family (4 or more children)

We have a special-needs child

We have experienced the loss of a child

We are dealing with the challenge of long work hours

We both work outside the home

We have difficult in-laws

We want to learn how to have healthy conflict resolution

We want to learn healthy ways to communicate

We are looking for ways to navigate through unemployment

We are dealing with a serious illness

We have experienced unfaithfulness

We are experiencing a financial crisis

We want to prevent any addiction

We want to improve our sex life

We want to do challenging adventures together

We want to pursue and enjoy the same types of activities together

We have a difficult family of origin issue

We have different faith backgrounds

We are raised with different cultural backgrounds

Other

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ACF Church
office@acfak.org
907-694-7741

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