*Denotes Required Field * Title Thank you for your interest in marriage mentoring. To do the best match with your request, each partner should fill out this request for mentoring. So, if you’re the organized one, send your partner the link to this page. NOTE: If you are requesting premarital mentoring we only need one person to apply, not both. This form helps us pair you with a mentor couple. The answers don't need to be too long but enough to get to know you better. Once we receive both your forms we will have a mentor couple contact you to arrange a time to start the mentoring discussions. * First Name: * Last Name: * Address (#, street name, city, province, postal code): * Phone: ( ) - * Email: Best way to contact you: email phone * How long have you been together? If you are married, what is your anniversary date? If you are not married, what is your wedding date? * Were you previously married? Please select an option Yes No What is your occupation? * Rate your relationship satisfaction on a scale of 1 (low) to 5 (high): 1 2 3 4 5 If you have children, what are their names and ages? * Why are you interested in being mentored? * Briefly describe your relationship: * How would you rate your spiritual life? 1 = Nonexistent to 10 = Strong and Healthy 1 2 3 4 5 6 7 8 9 10 * Briefly describe your spiritual journey: * Do you attend Central Heights Church? Please select an option Yes No We want to be wise and prayerful in matching Mentor with Mentee couples. To help with that process, what are some things we should know about you (interests, job, hobbies, etc.)?
