Marriage Mentor Application

F1 Requirement Name

If you are married, you and your spouse must both complete an application.

Personal Information

Name*

First Name

Last Name

Email*

Phone*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Gender*

Male Female

Date of Birth*

Format: MM/DD/YYYY

Marital Status*

Single Married Widowed Divorced

Groups Involvement

Are you currently in any of the following group types?*

Home Group High School Home Group Recovery Group Other form of gospel-centered community

Home Group Leader*

First Name

Last Name

High School Home Group Leader*

First Name

Last Name

Recovery Group Leader*

First Name

Last Name

Please explain the other form of gospel-centered community you are in.*

Church Involvement

Are you currently a Covenant Member of The Village Church?*

Yes No

Which campus do you attend?*

Flower Mound Fort Worth Southlake

Are you currently serving or leading in another area of The Village Church?*

Yes No

Please explain.*

Please list your church affiliations for the past five years, as well as your reason for leaving.*

Personal Assessment

Do you agree with The Village's Statement of Faith?*

Yes No

Please explain.*

Do you affirm the mission and core values of The Village and agree to cooperate with the pastors and elders of the church?*

Yes No

What do you consider to be your personal strengths?*

What do you consider to be your personal weaknesses?*

What do you believe to be your spiritual gifts?*

Describe what your time with the Lord looks like.*

Why do you want to be a marriage mentor?*

Save and Resume Later

Progress

Form secured by Formstack