Samuel's Church Marriage Application

Before we can approve anyone's request for marriage in the church, we need to have the following information:

  1. Full name __________________________________
  1. Address _____________________________________________
  1. Phone ( ) ________________
  1. Date of birth _________________
  1. Current occupation _____________________________________
    - length of time employed ___________ 
  1. Length of time you have dated each other ______________
  1. Date you desire to be married ____________________________
  1. Have you had any previous marriages? ____________
    - if so, please explain on the back of this sheet the circumstances and reasons for ending the marriage(s). 
  1. How would you describe how things are between you and God right now?








  1. If you died tonight, are you certain that you would go to heaven? 


    2. yes ____ no ____ not sure ____ 
     
     
     
  1. If God asked what you are relying on to get yourself into heaven, what would you say? 

 
 
 
  1. Was there ever a time in your life when you chose to turn from your sin and accepted Jesus as your Lord and Savior for the rest of your life? 


    2. yes ____ no ____ not sure ____
     
    If yes, please describe on the back of this page the circumstances surrounding your decision to accept Jesus.
     
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