Marriage Coach Application
 
Answer questions for BOTH husband and wife.
 
Names:*
Address:*
City:*
State:*
Zip Code:*
Home Phone:*
Cell Phones:
Husband's Email:*
Wife's Email:*
Wedding Anniversary:*
Husband's Birthdate and Current Age:*
Wife's Birthdate and Current Age:*
Members of Cherry Hills Community Church?*
Yes No
Do you have children?*
Yes No
If yes, please provide ages and gender:
Have either of you been previously married?*
Yes No
If yes, please explain briefly:
Why do you desire to be marriage coaches?*
What is your level of interest in helping couples prepare for marriage? (5 being the highest)*
1 2 3 4 5
What is your level of interest in helping couples maximize their marriage relationship? (5 being the highest)*
1 2 3 4 5
What concerns or fears do you have about becoming marriage coaches?
Are you willing to participate in some training to learn how to effectively coach other couples?*
Yes No
How would you rate your marriage? (5 being very strong)*
1 2 3 4 5
What qualities do you bring with you that you believe will make you effective marriage coaches? (Note any skills, education, life experiences, challenges you have overcome personally or as a couple.)*
Please describe the most outstanding crisis you have experienced as a couple and how you dealt with it. Would you be willing to coach another couple dealing with this same issue?
How would you rate your individual spiritual life? (Your personal relationship with Christ?)*
Thank you for your interest, a member of our Marriage Ministry will contact you soon.
 
* Indicates field is required.