Marital History Questionnaire

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MARITAL HISTORY QUESTIONNAIRE

Being separated, divorced, or remarried does not automatically eliminate you from consideration as ACT Intl staff. Please provide us the information below to help us evaluate your qualification for ministry leadership and then to stand with you if your qualification is ever questioned. It is not the purpose of this questionnaire to know all the details of the divorce. We seek to gather relevant information needed to make an informed decision concerning your potential status with ACT Intl.

Confidentiality

All information you submit on this form will be kept in strict confidence and only necessary ACT Intl leadership will have access to it.

If you would prefer to talk with Larry Moshell, Director of Staff Development, before submitting this form, click link to schedule a time to meet with him - go.oncehub.com/LarryMoshell

First Name

Last Name

Ministry Name

Marital Status:

RemarriedSingle - DivorcedSeparated

Date your divorce was finalized:

How long were you married?

Describe the basic causes and/or circumstances of your divorce.

What attempts were made toward reconciliation?

How long have you been remarried?

Is there anything else ACT Intl should know regarding your divorce?

Have you been divorced more than once?

YesNo

Date your previous divorce was finalized:

How long were you married?

Describe the basic causes and/or circumstances of this divorce.

What attempts were made toward reconciliation?

Is there anything else ACT Intl should know regarding this divorce?

How long have you been married?

How long have you been separated?

Describe the basic causes and/or circumstances of your separation.

What attempts are being made toward reconciliation and/or reasons why do do not believe reconciliation is not possible?

Is there anything else ACT Intl should know regarding your separation?

What is your biblical understanding of divorce? In light of that, how do you view your divorce(s)/separation?

If there is a Pastor, Christian Leader, or Counselor who walked or is walking with you through your separation or divorce who you would like to provide us with some insight into that process, please send them this link - https://www.tfaforms.com/332683

DIGITAL SIGNATURE

I have completed this application form truthfully and to the best of my knowledge

Full Name:

Date:

If you accessed this form through a link on the Candidate Application or Spouse Application, make sure you go back and complete that application after you click the Submit button below. You will not be automatically sent back to the Application you began after submitting this form.

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