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>
Bayside Marriage Coach Application
Bayside Marriage Coach Application
ATTN: Separate application to be completed by each spouse.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
# Years Married?
*
Anniversary Date
*
Date Format: MM slash DD slash YYYY
Previously Married?
*
Yes
No
Occupation
*
Rate your relationship satisfaction on a scale of 1-5:
*
1
2
3
4
5
Do you attend Bayside Church?
*
Yes
No
If yes, how long?
Why are you interested in being marriage coaches?
*
How would you rate your individual spiritual life?
*
(your relationship with God)
1 - Nonexistent
2
3
4
5
6
7
8
9
10 - Strong
Describe your spiritual Journey:
*
Describe your marriage:
*
What will make you a particularly good marriage coach?
*
(note any skills, education, life experience, challenges you've overcome, etc.)
We want to be wise and prayerful in matching Coach and Recipient couples. To help with that process, what are 3 things we should know about you?
*
(interests, jobs, passions, quirks, hobbies, etc.)
Please Provide 3 References:
Reference 1:
*
First
Last
Phone
*
Reference 2:
*
First
Last
Phone
*
Reference 3:
*
First
Last
Phone
*