Sojourn Pre-Marital Counseling Application

Question Title

* 1. When is your wedding date?

Date / Time

Date

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* 2. What is your contact info?

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. What is your fiance's contact info?

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 4. Are you a Sojourn member?

Yes

In process -- waiting for interview

In process -- currently signed up for class

No

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* 5. Is your fiance a member of Sojourn?

Yes

In process -- waiting for interview

In process -- currently signed up for class

No

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* 6. Any special considerations (share significant past experiences - family life, relationships, circumstances or events that might require special attention during the pre-marital counseling).

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* 7. Have either you or your fiance been married before that ended in divorce or death? If yes, please elaborate with dates and details about your circumstances.

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* 8. WHEN ARE YOU AVAILABLE TO MEET FOR PMC? Please be flexible and make your counseling sessions a priority as all of our counselors have very busy schedules. Let us know your preferred days of the week, and whether mornings, afternoons or evenings work best.