Apply for Marriage Ministry in a Box | Conscious Christian Marriage

Church Application

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About you

First Name * Last Name *

Email * Phone *

Your Role at the Church *

About your church

Church Name *

City and State * Church Website

Denomination or Affiliation Average Weekly Attendance *

Does your senior pastor know you are applying? *

How you will use it

How do you plan to use Ministry in a Box? (check all that apply) Small groups Sunday school or class Marriage retreat or event Pre-marital couples Pastoral counseling Couples working through it at home

How many couples do you expect to reach? * When do you hope to start? *

Tell us about the marriages in your church. What are couples struggling with most? * How did you hear about Conscious Christian Marriage? Anything else you would like us to know? I understand Ministry in a Box is provided free for use within our church and ministry, and is not to be resold. *