Apply to be a Mentee Home Builders Mentoree Application We're so glad you are interested in being matched with a marriage mentor couple who will commit to walk alongside you in your marriage. Please complete this brief form so we can make the best match possible for you.Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Wedding Anniversary:*Do you have children?*YesNoList children's gender and age:For which category are you seeking a marriage mentor couple?*Click here to select the option that most applies to your situation:Strengthening Marriages - How to get from "good" to "great"Repairing Marriages - Encouraging couples in distressWe want to match you with a mentor couple with whom you have some similarities.Please select all statements below that are true for your marriage history that will help to match you with a marriage mentor couple. 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 We/ One of us is in the military Other Urgent IssuesIdentify the top two or three things that you are struggling with in your marriage, and then rate the seriousness of each issue, where 1 is causing some minor pain and 10 is a consideration of divorce.Urgent Issue 1How serious is this issue?Choose below12345678910Urgent Issue 2 (if needed)How serious is this issue?Choose below12345678910Urgent Issue 3 (if needed)How serious is this issue?Choose below12345678910Please feel free to write any additional comments that would help us match you with a mentor couple.Thank you for providing us with this information. We will get back with you shortly. Please save this form and send to homebuilders@gfconline.com serve at GFC events at GFC contact GFC
