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Your Name:
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Your Phone Number:
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Your Partner's Name:
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Your Partner's Address:
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Your Partner's Phone Number
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Your Email Address
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Your Partner's Email Address
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Your Age
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Your partner's Age:
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A born again Christian is one who has
trusted in Jesus Christ to save them and
forgive them of their sins. Would you
consider yourself to be a born again
Christian? If yes, when and how did this take
place?
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When and where were you water baptized?
Please describe your walk with Jesus Christ
since that time.
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Are you presently attending another church?
If so, which one? If no, why?
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Highest educational achievement:
Future educational goals:
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Present place of employment: How long?
Please explain your present position:
Please explain your career goals:
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Are you still living with your parents?
Are they still married?
What lessons (good or bad) have you
learned from their marriage?
Do you expect to repeat their successes or
failures? Discuss either:
Do they approve of your intended marriage
partner? If not, why?
What is your response?
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Have you been married previously? If yes,
how many times?
(If more than once, please answer the
following questions - keeping each separate)
Date of marriages?
Were you widowed? If so, when did your
spouse pass away?
Date of final divorce decree:
Why did this marriage(s) fail?
Were either you or your ex-spouse born
again Christians at this time? (Explain):
Has this ex-spouse remarried?
Were there any children? If so, ages:
What are your children’s reactions to this
proposed marriage?
Explain custody, visitation and child support
arrangements:
Is child support current? (Be specific):
What classes/counseling have been
initiated to assist you in the healing process
from this divorce?
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Have you ever been arrested or convicted
of a crime? If yes, please explain:
Are you currently involved in any lawsuit? If
yes, please explain:
How much financial debt will you be
bringing into this marriage? (Include: car
loans, credit cards, student loans, child
support, medical etc.):
Do you presently owe any money to the
IRS? If yes, how much?
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How long have you known each other?
Are you engaged? If so, how long have you
been engaged?
Are you sure this is true love? If yes,
please describe why you believe it is:
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Please describe your understanding of a
“marriage covenant before Almighty God”:
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What Bible studies have you participated in
and which books have you read regarding
Christian marriage?
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What are your plans in regard to children?
How many? When?
Does the wife plan on working outside of
the home?
How will this affect the relationship /
marriage?
What do you expect from marriage?
What does your partner expect from
marriage?
Do you have any fears or concerns about
this relationship proceeding toward
marriage? (Please describe):
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