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Marriage Mentoring Application
Use the form below to provide us with some helpful information and we will contact you once we've paired you with a Mentor Couple.
Your name
*
Last name
Email address
*
Phone number
Phone type
Mobile
Home
Work
Other
Describe your relationship...
How long have you been together?
If married, what is your anniversary date?
Have you been married previously?
Yes
No
What are your occupations?
Rate your marital relationship satisfaction:
Low
Needs Attention
Average
Moderately High
Very High
Do you have children?
Yes
No
Briefly describe your relationship
Why are you interested in being mentored?
On a scale of 1 to 10, please rate your spiritual life:
Non-existent
2
3
4
5
6
7
8
9
Strong, Healthy
Briefly describe your spiritual journey.
Do you attend CLCC?
Yes (CLCC Abbotsford)
Yes (CLCC Aldergrove)
No
We want to be wise and prayerful in matching you with a Mentor Couple. To help with that process, what are some things we should know about you(i.e. interests, job, hobbies, etc.)?
Submit
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