Mentoree Application Form - Landmark Church

Household members

Address

Which category are you seeking a marriage mentor couple?

Anniversary date

If already married

Do you have any unusual scheduling issues that may impact when you can meet with your mentors?

We want to match you with a mentor couple with whom you have some similarities.

We married late in life (35 years or older)

We married young (under 20 years of age)

This is a second marriage

We have a large family (4 or more children)

We have a special-needs child

We have experienced the loss of a child

We have experienced infertility

We are dealing with the challenge of long work hours

We both work outside the home

We have a demanding travel schedule

We have difficult in-laws

We want to learn how to have healthy conflict resolution

We want to learn healthy ways to communicate

We are looking for ways to navigate through unemployment

We are dealing with a serious illness

We have experienced unfaithfulness

We are experiencing a financial crisis

We want to prevent any addiction

We want to improve our sex life

We want to do challenging adventures together

We want to pursue and enjoy the same types of activities together

We have a difficult family of origin issue

We have different faith backgrounds

We were raised with different cultural backgrounds

Other

Please feel free to write any additional comments that would help us match you with a mentor couple