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Marriage Mentoring Application Resume

Use the form below to provide us with some helpful information and we will contact you once we've paired you with a Mentor Couple.

First Name
Last Name
Postal Code
Home Phone
Cell Phone

Describe your relationship...

How long have you been together?
If married, what is your anniversary date?
Have you been married previously?
What are your occupations?
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Rate your relationship:
LowNeeds AttentionAverageModerately HighVery High
Marital Relationship Satisfaction
Do you have children?
What ages are your children?Check all that apply.
Why are you interested in being mentored?
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Briefly describe your relationship.
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On a scale of 1 to 10, please rate your spiritual life:
Non existent23456789Strong, Healthy
Spiritual Life
Briefly describe your spiritual journey.
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Do you attend CLCC?
We want to be wise and prayerful in matching you with a Mentor Couple. To help with that process, what are some things we should know about you (i.e. interests, job, hobbies, etc.)?
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For more information about CLCC Marriage Mentoring Program, please contact Pastor Sam Seo.