APPLICATION FORM FOR POTENTIAL SUITORS Name: ____________________________
Date of Birth: __________________________
Place of Birth: ______________________
I.D. No. _______________________________
Nationality: ______________________________________________________________________ Passport No.: _____________________________________________________________________ 1.
Please give some details about your parents (citizenship, education, residence, employment, marital status, health and ages): ________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
2.
Please give details about any brothers or sisters (ages, education, citizenship, residence, marital status, employment, etc.): _______________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
3.
Describe your relationship with your parents and siblings: __________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
4.
Where have you lived? ______________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
5.
What schools have you attended? ______________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
6.
How have you done academically in school? _____________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
7.
What sports, recreations and hobbies do you enjoy? ______________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
8.
What extra-mural activities have you been involved in? ____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __ ________ __________________________________________________________________________
9.
What work experience have you had? __________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
10.
Do you have a savings account? What percentage of your income do you put into savings? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
11.
What is your belief concerning personal debt? How much debt do you have? ___________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
12.
What churches have you attended, and of what churches have you been a member? ______ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
13.
How long have you been a member of your present church? _________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
14.
What do you look for in choosing a church? ____________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________________________
15.
What is worship? __________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
16.
What are your convictions about issues related to worship (e.g. Sunday School, youth groups, musical instruments in worship services, etc.)? _____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 2
__________________________________________________________________________ __________________________________________________________________________ 17.
What are your convictions concerning the Lord’s Day? ____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
18.
In what ways have you served in your local church? _______________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
19.
Describe your personal relationship to the Lord Jesus Christ? _______________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
20.
What is a Christian? ________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
21.
On what do you base your Salvation? __________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
22.
How long have you been a Christian? ___________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
23.
What is the highest goal of mankind? ___________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
24.
What is your practice with regard to private worship? ______________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 3
25.
What constitutes holiness? ___________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
26.
Describe what you would like your own family to be like after you are married: _________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
27.
What is the role of a husband/father in the home? _______________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
28.
What is the role of a wife/mother in the home? __________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
29.
What type of education would you want your children to receive? __________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
30.
Describe your understanding of courtship, engagement and marriage? _______________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
31.
Under what circumstances could divorce ever be Biblically justified? __________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
32.
What are your political affiliations and convictions? ______________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 4
33.
For what political party or candidates would you vote? ____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
34.
Please give a Biblical evaluation of the present state of our nation: ___________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
35.
What is the Biblical role of the state? ___________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
36.
Under what circumstances could abortion be justified? _____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
37.
How does one determine right and wrong? _____________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
38.
If you are offended by others, how should you respond? ____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
39.
When you sin against others, how should you respond? ____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
40.
Give examples of personally responding in these ways: _____________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
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41.
Can a promise, vow, or oath, ever be broken? ____________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
42.
Is there a situation in which you believe you would be justified in deceiving someone? Describe such a situation: _____________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
42.
Are you a good listener? _____________________________________________________ __________________________________________________________________________ __________________________________________________________________________
43.
Are you teachable? - Give examples: __________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________________________ __________________________________________________________________________
44.
Do you think men should honour women by standing up when they enter the room, taking tea trays from them, by opening doors for ladies, pulling out chairs, offering your seat when none are available, etc? Why, or why not? ________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
45.
Have you ever dated anyone? _________________________________________________
46.
Have you ever courted anyone? _______________________________________________
47.
Have you ever been engaged? _________________________________________________
48.
Have you ever been arrested, charged or convicted of a crime? Describe the circumstances: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
48.
Have you ever used drugs? If yes, how, when and for how long?______________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
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49.
Have you ever hit anyone, or destroyed the property of anyone, in anger? When? What were the circumstances? When was the last time this happened? ______________________ __________________________________________________________________________ _________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
49.
Have you ever been drunk? - If so explain the circumstances: ________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
50.
Have you ever smoked cigarettes? - If so, in what forms, and how often? _______________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
51.
Have you ever been tested for any STDs, particularly AIDS? - Would you be willing to be tested? ____________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
51.
What steps are you taking to avoid lust? ________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
52.
In what skills have you trained for self-defense? ___________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
53.
What weapons training have you had? __________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
54.
What would you be willing, and able, to do in defense of my daughter? _____________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
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55.
What first attracted you to my daughter? ________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________________________ __________________________________________________________________________
56.
What attracts you most about my daughter? ____________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
57.
What are your life goals? ____________________________________________________ __________________________________________________________________________ _________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
58.
Have you participated in Cubs/Scouts? - For how many years and to what level did you attain? ____________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
59.
Have you ever undertaken first aid courses? - If so to what level: _____________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
60.
What language skills do you have? _____________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
61.
What computer skills do you have? ____________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
58.
What is Truth? ____________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
59.
What is God like? __________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
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60.
Who is Jesus Christ? _______________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
61.
Describe the way of Salvation. What is God’s role? What is man’s role? ______________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
62.
In what career do you believe God has called you to labour? _________________________ __________________________________________________________________________ _________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
63.
What further training or education is required? ___________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
64.
What do you believe is the ultimate calling God has placed on your life? ____________ __________________________________________________________________________ _________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
If I should approve of you courting my daughter, I will expect you to build friendships with her brothers and sister as well. You would also be expected to get involved in mission and fellowship activities, to attend training courses, and to complete various assignments, evaluations and reading projects. Until a marriage Covenant is publicly made, in accordance with the laws of our church, my daughter does not belong to you in any sense. Her body does not belong to you! Hands off! (1 Corinthians 7:1; 1 Thessalonians 4:3-6; 1 Timothy 5:2). Do you promise before God to abide by these conditions? _________________________________________________________________ ________________________________________________________________________________ I declare that I have examined my answers to the above questions. To the best of my knowledge and belief , they are true, correct and complete. I have not knowingly withheld or distorted any information.
Signed: _________________________________ Date: ________________________________
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