MENTEE COUPLE - Marriage Bio

MENTEE COUPLE - Marriage Bio

Please fill out this form together with your spouse if you would like to be mentored by another couple.
Contact Info
Names*

First Name & First NameLast Name(s)
Email Address(es)*
Preferred Phone*

Area CodePhone Number
Alternate Phone

Area CodePhone Number
General Info
Husband's Age*
Wife's Age*
How long were you together before you were married?*
What is your wedding anniversary date?*

MonthDayYear
Have either of you been previously married?*
If you have children, what are their ages?*
What are your occupations?*
Church Involvement (select all which apply)*

Church of the Rock - Winnipeg SouthChurch of the Rock - Bronx ParkChurch of the Rock - NivervilleChurch of the Rock - North EndChurch of the Rock - Onlinewe are part of a Home GroupOther
Briefly describe your spiritual journey.
Husband's spiritual journey*
Wife's spiritual journey*
How would you rate your spiritual life?

Husband - my spiritual life is...*

	1	2	3	4	5	6	7	8	9	10

1 is nonexistent, 10 is strong, healthy

Wife - my spiritual life is...*

	1	2	3	4	5	6	7	8	9	10

1 is nonexistent, 10 is strong, healthy

Husband - my level of satisfaction is...*

	1	2	3	4	5

1 is Low, 5 is Very high

Wife - my level of satisfaction is...*

	1	2	3	4	5

1 is Low, 5 is Very high

Briefly describe your relationship*
Why are you interested in being mentored?*
Please feel free to contact steve@churchoftherock.ca / 204.261.0070 if you have any additional questions.
Should be Empty: