1. Your Full Name:

2. Your Partner's Full Name:

3. Residence:

4. Phone Number:

5. Your email address:

6. How long have you been attending DC Umoja?

7. How long has your partner been attending DC Umoja?

8. Which church are you attending if not DC Umoja?

9. Which church, if any, do you hope to be committed to after the wedding?

10. Which Estate fellowship or small group are you in?

11. Name one couple in D.C Umoja whose marriage you admire and why?

12. How long have you known each other?

13. How long have you been seriously relating?

14. When was your engagement made official?

15. How do your parents feel about the upcoming marriage?

16. How do your future in-laws feel about the upcoming marriage?

17. What convinced you to consider marrying your partner?

18. Three attributes in your partner that you admire?

19. Three attributes in your partner that you dislike?

20. What fears do you have about marriage?

21. Are you living together? Have you lived together in the past?

22. Do you have children? And if yes, state the age(s)

23. Are you or is your partner pregnant?
YesNo

24. Describe a recent major conflict. What was the central issue?

25. How was it resolved? Please state if not yet resolved.

26. Have you been married or engaged before?
YesNo

27. How many serious relationships have you had before?
o123More than 3

28. If yes to either question 26 or 27 above, state when and describe.

29. Who raised you?

30. Were your parents ever separated, divorced or widowed?
MarriedSeparatedDivorcedUnknown

31. Describe your parents marriage:

32. Describe your relationship with God:

33. Have you accepted Christ as the Lord of your life?
YesNoBackslided

34. Has your partner done so?
YesNoBackslided

35. When do you plan to marry? If no firm date, give an estimate)

36. Name of church:

37. Possible officiating Pastor:

38. Any other comments?

PRE – MARITAL COUNSELLING CLASS COVENANT
I agree to attend all ten sessions.

I agree to be on time for each session. I recognize that my lateness disturbs the group and harms my learning.

I agree to complete assignments between sessions so that I can grow and have meaningful interaction with the teaching material.

I agree that whatever other group members share in the group is to be kept confidential. This is an expression of love and respect for other members.

I agree to do all I can to create an atmosphere of trust in the group. When there are differences of opinions or experiences, I will seek to be non-judgmental and respectful.

I agree to be teachable, accountable and honest.

I agree to find a mentor couple within four weeks and to meet with them at least four hours a month.

I agree to let my teachers, mentor couple and fiancée/fiancé confront me in love so that I can grow.

I agree to be accountable to my mentor and supervisors regarding my purity goals.

If I do not keep this covenant I understand that the teachers, supervisor or group will decide whether I can continue the class for any reason, my payment is non-refundable.

By submitting this form, I agree to have read and understood the Pre-Marital Counselling Class Covenant terms and conditions.

Signed:

Date: