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 Name Last Name(s)
Email Address(es) *
Preferred Phone *

Area Code Phone Number
Alternate Phone

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

Month Day Year
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 South Church of the Rock - Bronx Park Church of the Rock - Niverville Church of the Rock - North End Church of the Rock - Online we are part of a Home Group
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: