Marriage Mentor Application

We’re so glad you are interested in marriage mentorship. Our hope is to partner you with a mentor couple who will walk alongside you in your marriage. Please take a moment to complete this brief form so we can make the best match possible for you.

Address *
Home Phone *
Home Phone
Husband Cell *
Husband Cell
Wife Cell *
Wife Cell
Wedding Anniversary Date *
Wedding Anniversary Date
Are you a follower of Jesus Christ? *
Do you attend weekend services New Life Church? *
Example: Sunday, Tuesday, Friday
Example: John, 14, Male
1 = NOT Happy, 10 = VERY Happy
By checking the box below, we affirm that we have read and understand New Life's Marriage Mentoring Confidentiality Statement (SEE BELOW). *

Confidentiality Statement


Our Marriage Mentors will be using an inventory called PREPARE/ENRICH and reading materials as needed. PREPARE/ENRICH increases the awareness of the strengths and growth areas of a couple, stimulates discussion of important issues, and teaches communication and conflict resolution skills. It is not intended to predict marital success and it is not to replace professional judgment.

Mentor Credentials

Marriage Mentors are godly men and women who have been married for at least five years. They are committed to God and to each other. They are not professionals in psychological counseling or psychiatric therapy and are not licensed. They have been trained in the PREPARE/ENRICH and New Life's Marriage Mentoring materials. They do receive supervision from the Marriage Pastor at New Life Church. If the mentors discover issues that they are not trained to handle, you may be referred to a professional counselor.


All communication between you and you mentors is considered confidential, except as required by law (i.e., where there is a threat of serious harm to self or others, as in the case of child abuse, suicide, or homicide). The mentors will also be receiving supervision from trained personnel.