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Marriage Mentoring Application
Mitchell
2025-10-08T15:13:28-07:00
Marriage Mentoring Application
Pre-Marital Mentoring Application
Bride's Information
Bride’s Name:
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Bride’s Cell:
(Required)
Bride’s Email:
(Required)
Bride’s Birthday:
(Required)
MM slash DD slash YYYY
Is the Bride a follower of Jesus?
(Required)
Yes
No
How often does the Bride attend New Life Church?
(Required)
1-4 times per month
3-4 times per year
1-2 times per year
Does not attend
Bride’s Marital Status:
(Required)
Never Married
Engaged previously, not married
Divorced
Widowed
How long was the Bride's previous marriage?
(Required)
How long was the Bride's previous engagement?
(Required)
What was some of the major contributing factors towards divorce?
(Required)
Has the Bride been through a divorce recovery program or counseling? If so, when did you go and what were the results of that experience?
(Required)
If applicable, what steps has the Bride taken to heal/forgive from your previous marriage or engagement?
(Required)
Does the Bride have children?
(Required)
Yes
No
List their names, age, and gender:
(Required)
Where do they live?
(Required)
What is the Bride's visitation / custody agreement?
(Required)
Groom's Information
Groom's Name:
(Required)
First
Last
Groom's Address:
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Untitled
Groom's Cell:
(Required)
Groom's Email
(Required)
Groom's Birthday:
(Required)
MM slash DD slash YYYY
Is the Groom a follower of Jesus?
(Required)
Yes
No
How often does the Groom attend New Life Church?
(Required)
1-4 times per month
3-4 times per year
1-2 times per year
Does not attend
Groom’s Marital Status:
(Required)
Never married
Engaged previously, not married
Divorced
Widowed
How long was the Groom's previous marriage?
(Required)
How long was the Groom's previous engagement?
(Required)
What was some of the major contributing factors towards divorce?
(Required)
Have you been through a divorce recovery program or counseling? If so, when did you go and what were the results of that experience?
(Required)
If applicable, what steps have you taken to heal/forgive from your previous marriage?
(Required)
Does the Groom have children?
(Required)
Yes
No
List their name, age, and gender:
(Required)
Where do they live?
(Required)
What is the Groom's visitation / custody agreement?
(Required)
Wedding & Relationship Information
Wedding Date:
(Required)
MM slash DD slash YYYY
Are you interested in having your ceremony at New Life?
(Required)
Yes
No
Who is officiating your ceremony?
(Required)
I would like an officiant from New Life
Other
What has led to your decision to get married?
(Required)
In specific terms, what are you both hoping to gain from marriage mentoring?
(Required)
Do you both agree to premarital mentoring?
(Required)
Yes
No
We would like to understand the process before committing.
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