Counseling Application: Premarital

Thank you, your application has been sent in and a counselor will contact you soon.

Our goal in providing biblical counseling is to help you meet the challenges of life in a way that will please and honor the Lord Jesus Christ and allow you to enjoy fully His love for you and His plans for your life.

We’re glad that you’re taking this important step to seek godly counsel. Jesus promises us, “Come to me, all who are weary and heavy-laden, and I will give you rest” (Matthew 11:28). No matter what your situation, this is a time in your life that the God of all creation knows and understands completely, and therefore, there is great hope! This form is helpful for us to start getting to know you and your situation, as well as to communicate these first important points which explain some of our perspectives and convictions which we believe are honoring to God and the best way we can truly be of help to you.

Biblical Basis: We believe that the Bible provides thorough guidance and instruction for faith and life. (II Peter 1:3 and Romans 15:4) Therefore, our counseling is based solely on scriptural principles rather than those of secular psychology or psychiatry. Nor do our counselors prescribe or otherwise provide evaluations for pharmaceutical therapy. If your physician has advised that you need such treatment, or that they may have symptoms related to an organic issue, you should seek advice and evaluation with a physician or psychiatrist of your choosing.

We ask that all of those we counsel be regular attendees to a Sunday morning worship service. Other vital components to your growth will be assigned during the course counseling. We will be ready to help in each step along the way.

Not Professional Advice: Although some of the counselors of this church may be licensed in other fields, such as medicine or psychology, they do not practice as professional doctors, psychologists, or psychiatrists in their role as Biblical Counselors. In this role, they do not provide the same kind of professional advice and services that they do when they are hired in their professional capacities. Therefore, if you have significant legal, financial, medical, or other technical questions, you should seek advice from independent professionals not associated with Sunergos Christian Church. Our counselors will be happy to cooperate with such advisors and help you to consider their counsel in the light of relevant biblical principles. By signing this “Consent to Biblical Counseling” you are giving Sunergos Christian Church the permission to counsel you or your child and you agree to hold Sunergos Christian Church harmless in any and all matters associated with the biblical advice they receive.

Confidentiality: Confidentiality is an important aspect of the counseling process, and we will carefully guard the information you entrust to us. However, because we are continually training others to be effective counselors we ask that you agree to allow the possibility of counselors in training to be present during your sessions. Also, there are four other situations when it may be necessary for us to share certain information with others: (1) When a counselor is uncertain of how to address a particular problem and needs to seek advice from another counselor, pastor, or elder in this church; (2) when the counselor sees an opportunity to involve appropriate Sunergos Church staff in additional care for others involved; (3) when there is a clear indication that someone may be harmed unless we otherwise intervene; or (4) when someone persistently refuses to renounce a particular sin and it becomes necessary to seek the assistance of others in the church to encourage repentance and reconciliation (see Proverbs 15:22; 24:11; Matthew 18:15-20). Please be assured that our counselors strongly prefer not to disclose personal information to others, and they will make every effort to help you find ways to resolve a problem as privately as possible.

Resolution of Conflicts: On rare occasions, a conflict may arise between counselor and counselee. In order to make sure that any such conflicts will be resolved in a biblically faithful manner, we require all of our counselees to agree that any dispute that arises with the counselor or with this church as a result of counseling will be settled with mediation within the church according to the principles of scripture and the authority of this local church.

Having clarified the principles and policies of our counseling ministry, we welcome the opportunity to minister to you in the name of Christ and to be used by Him as He helps you to grow in spiritual maturity and prepares you for usefulness in His body. If you have any questions about these guidelines, please talk with a pastor or elder. If these guidelines are acceptable to you, please check the box below.

I have read the above guidelines and am in agreement with the nature of the counseling of Sunergos Christian Church.

Contact Information:

First Name

Last Name

Phone

Street

City

State

Zip Code

Birthday (YYYY-MM-DD)

Gender

Name of prospective spouse:

Do you attend Sunergos Church?

If not attending Sunergos, what church do you attend?

Family Information:

How many sibling do you have and which number are you?

Parent’s Marital Status

Have you been previously married?

Do you have any children? Please list names and ages.

Have you recently suffered the loss of someone close to you? If yes, please explain.

Health Information:

Please Rate Your General health:

Do you have problems sleeping? If yes, please explain:

Date of your last physical?

Religious Background:

Do you consider yourself a Christian?

What is your understanding of the gospel?

Did you attend church as a child, if so which church?

How often do you read the Bible?

Do you pray to God?

When you pray, what do you pray about?

Education and Work:

Education/Training (list type/years)

What is your occupation?

Who is your employer?

Please Answer the Following:

How long have you known your potential spouse?

How long have you been in a committed relationship?

What is the set date of your wedding if already determined?

Have you had any conflict in your relationship? How did you resolve it?

What have your past dating relationships been like?

Describe your parents’ relationship. Also, describe a marriage relationship that you really respect and want to emulate:

What challenges do you see for your relationship to continue to grow?

What part does God have in your relationship? What do you you think He expects from you?

What are your expectations from Premarital Counseling?

What challenges do you see ahead in your relationship? Is there any other information we should know?