Skip to content
HOME
ABOUT
Vision
NEW HERE
LOCATIONS
Medford
Andover
UPSIDE DOWN
GIVE
GET CONNECTED
MINISTRIES
iKidz
Youth
Marriage
Child Dedication
Freedom
MORE
Fasting
Prayer Request
Menu
HOME
ABOUT
Vision
NEW HERE
LOCATIONS
Medford
Andover
UPSIDE DOWN
GIVE
GET CONNECTED
MINISTRIES
iKidz
Youth
Marriage
Child Dedication
Freedom
MORE
Fasting
Prayer Request
Marriage Mentoring Form
Here at Impact, we believe in strong and healthy marriages. If you and your fiancé/spouse are in need of pre-marital/marriage mentoring, please fill out the form below and someone from our Marriage Mentoring team will reach out.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Spouse's Name
*
First
Last
Email
*
Phone
*
What Campus do you attend?
*
Medford
Andover
What type of mentoring do you need?
*
Type of Mentoring
Pre-Marital Mentoring
Marital Mentoring
Which class would you like to join? Pre-Marital class runs for 7 weeks and is offered three times a year.
*
Select Class
February-March
June-July
October-November
What type of Marital Mentorship do you need?
Conflict Resolution
Enhance Communication
Finances
Lack of Intimacy
Infidelity
Excessive Anxiety
Angry Outbursts
Assistance with Children
Issues with In-Laws
Work-Life Balance
Blended Families
Other
Is this your:
First marriage
Second marriage
Third marriage or more
How many years of marriage?
1-2
3-5
6-10
11-15
16-20
21-30
Comments
Submit
