AMA Marriage Counselling Course Application
GENERAL INFORMATION
*
First Name
*
Last Name
*
Address
*
Country of Residence
--- Please Choose ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
External Territories of Australia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey and Alderney
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man (Isle of)
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
Netherlands The
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory Occupied
Panama
Papua new Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Smaller Territories of the UK
Solomon Islands
Somalia
South Africa
South Georgia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
*
Your State / Province
--- Please Choose a Country First ---
*
City
--- Please Choose a State First ---
*
Postal / Zip Code
*
Your Email
*
Phone
*
How Did You Hear About Us?
--- Please Choose ---
Church
Email
Facebook
Television
Website
Word of Mouth
Other
*
Gender
--- Please Choose ---
Male
Female
*
Marital Status
--- Please Choose ---
Single - Unmarried
Single - Separated - With Children
Single - Separated - Without Children
Single - Divorced - With Children
Single - Divorced - Without Children
Single - Widow - With Children
Single - Widow - Without Children
Married (Coming for Bible Study)
*
Education
--- Please Choose ---
Below SSLC
SSLC
Associate's Degree
Batchelor's Degree
Doctoral Degree
G.E.D.
High School Diploma
Master's Degree
Trade School
Other
*
Occupation
*
Birthdate
*
Home Country
--- Please Choose ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
External Territories of Australia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey and Alderney
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man (Isle of)
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
Netherlands The
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory Occupied
Panama
Papua new Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Smaller Territories of the UK
Solomon Islands
Somalia
South Africa
South Georgia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
*
Age
*
Height
--- Please Choose ---
4ft 6in / 137 cms
4ft 7in / 139 cms
4ft 8in / 142 cms
4ft 9in / 144 cms
4ft 10in / 147 cms
4ft 11in / 149 cms
5ft / 152 cms
5ft 1in / 154 cms
5ft 2in / 157 cms
5ft 3in / 160 cms
5ft 4in / 162 cms
5ft 5in / 165 cms
5ft 6in / 167 cms
5ft 7in / 170 cms
5ft 8in / 172 cms
5ft 9in / 175 cms
5ft 10in / 177 cms
5ft 11in / 180 cms
6ft / 182 cms
6ft 1in / 185 cms
6ft 2in / 187 cms
6ft 3in / 190 cms
6ft 4in / 193 cms
6ft 5in / 195 cms
6ft 6in / 198 cms
6ft 7in / 200 cms
6ft 8in / 203 cms
6ft 9in / 205 cms
6ft 10in / 208 cms
6ft 11in / 210 cms
7ft / 213 cms
*
Weight
*
Profession
*
Income
*
Mother Tongue
--- Please Choose ---
Abkhazian
Achinese
Acoli
Adangme
Adyghe
Afar
Afrihili
Afrikaans
Aghem
Ainu
Akan
Akkadian
Akoose
Alabama
Albanian
Aleut
Algerian Arabic
American English
American Sign Language
Amharic
Ancient Egyptian
Ancient Greek
Angika
Ao Naga
Arabic
Aragonese
Aramaic
Araona
Arapaho
Arawak
Armenian
Aromanian
Arpitan
Assamese
Asturian
Asu
Atsam
Australian English
Austrian German
Avaric
Avestan
Awadhi
Aymara
Azerbaijani
Badaga
Bafia
Bafut
Bakhtiari
Balinese
Baluchi
Bambara
Bamun
Banjar
Basaa
Bashkir
Basque
Batak Toba
Bavarian
Beja
Belarusian
Bemba
Bena
Bengali
Betawi
Bhojpuri
Bikol
Bini
Bishnupriya
Bislama
Blin
Blissymbols
Bodo
Bosnian
Brahui
Braj
Brazilian Portuguese
Breton
British English
Buginese
Bulgarian
Bulu
Buriat
Burmese
Caddo
Cajun French
Canadian English
Canadian French
Cantonese
Capiznon
Carib
Catalan
Cayuga
Cebuano
Central Atlas Tamazight
Central Dusun
Central Kurdish
Central Yupik
Chadian Arabic
Chagatai
Chamorro
Chechen
Cherokee
Cheyenne
Chibcha
Chiga
Chimborazo Highland Quichua
Chinese
Chinook Jargon
Chipewyan
Choctaw
Church Slavic
Chuukese
Chuvash
Classical Newari
Classical Syriac
Colognian
Comorian
Congo Swahili
Coptic
Cornish
Corsican
Cree
Creek
Crimean Turkish
Croatian
Czech
Dakota
Danish
Dargwa
Dazaga
Delaware
Dinka
Divehi
Dogri
Dogrib
Duala
Dutch
Dyula
Dzongkha
Eastern Frisian
Efik
Egyptian Arabic
Ekajuk
Elamite
Embu
Emilian
English
Erzya
Esperanto
Estonian
European Portuguese
European Spanish
Ewe
Ewondo
Extremaduran
Fang
Fanti
Faroese
Fiji Hindi
Fijian
Filipino
Finnish
Flemish
Fon
Frafra
French
Friulian
Fulah
Ga
Gagauz
Galician
Gan Chinese
Ganda
Gayo
Gbaya
Geez
Georgian
German
Gheg Albanian
Ghomala
Gilaki
Gilbertese
Goan Konkani
Gondi
Gorontalo
Gothic
Grebo
Greek
Guarani
Gujarati
Gusii
Gwich?in
Haida
Haitian
Hakka Chinese
Hausa
Hawaiian
Hebrew
Herero
Hiligaynon
Hindi
Hiri Motu
Hittite
Hmong
Hungarian
Hupa
Iban
Ibibio
Icelandic
Ido
Igbo
Iloko
Inari Sami
Indonesian
Ingrian
Ingush
Interlingua
Interlingue
Inuktitut
Inupiaq
Irish
Italian
Jamaican Creole English
Japanese
Javanese
Jju
Jola-Fonyi
Judeo-Arabic
Judeo-Persian
Jutish
Kabardian
Kabuverdianu
Kabyle
Kachin
Kaingang
Kako
Kalaallisut
Kalenjin
Kalmyk
Kamba
Kanembu
Kannada
Kanuri
Kara-Kalpak
Karachay-Balkar
Karelian
Kashmiri
Kashubian
Kawi
Kazakh
Kenyang
Khasi
Khmer
Khotanese
Khowar
Kikuyu
Kimbundu
Kinaray-a
Kinyarwanda
Kirmanjki
Klingon
Kom
Komi
Komi-Permyak
Kongo
Konkani
Korean
Koro
Kosraean
Kotava
Koyra Chiini
Koyraboro Senni
Kpelle
Krio
Kuanyama
Kumyk
Kurdish
Kurukh
Kutenai
Kwasio
Kyrgyz
K?iche?
Ladino
Lahnda
Lakota
Lamba
Langi
Lao
Latgalian
Latin
Latin American Spanish
Latvian
Laz
Lezghian
Ligurian
Limburgish
Lingala
Lingua Franca Nova
Literary Chinese
Lithuanian
Livonian
Lojban
Lombard
Low German
Lower Silesian
Lower Sorbian
Lozi
Luba-Katanga
Luba-Lulua
Luiseno
Lule Sami
Lunda
Luo
Luxembourgish
Luyia
Maba
Macedonian
Machame
Madurese
Mafa
Magahi
Main-Franconian
Maithili
Makasar
Makhuwa-Meetto
Makonde
Malagasy
Malay
Malayalam
Maltese
Manchu
Mandar
Mandingo
Manipuri
Manx
Maori
Mapuche
Marathi
Mari
Marshallese
Marwari
Masai
Mazanderani
Medumba
Mende
Mentawai
Meru
Meta?
Mexican Spanish
Micmac
Middle Dutch
Middle English
Middle French
Middle High German
Middle Irish
Min Nan Chinese
Minangkabau
Mingrelian
Mirandese
Mizo
Modern Standard Arabic
Mohawk
Moksha
Moldavian
Mongo
Mongolian
Morisyen
Moroccan Arabic
Mossi
Multiple Languages
Mundang
Muslim Tat
Myene
Nama
Nauru
Navajo
Ndonga
Neapolitan
Nepali
Newari
Ngambay
Ngiemboon
Ngomba
Nheengatu
Nias
Niuean
No linguistic content
Nogai
North Ndebele
Northern Frisian
Northern Sami
Northern Sotho
Norwegian
Norwegian Bokmål
Norwegian Nynorsk
Novial
Nuer
Nyamwezi
Nyanja
Nyankole
Nyasa Tonga
Nyoro
Nzima
N?Ko
Occitan
Ojibwa
Old English
Old French
Old High German
Old Irish
Old Norse
Old Persian
Old Provençal
Oriya
Oromo
Osage
Ossetic
Ottoman Turkish
Pahlavi
Palatine German
Palauan
Pali
Pampanga
Pangasinan
Papiamento
Pashto
Pennsylvania German
Persian
Phoenician
Picard
Piedmontese
Plautdietsch
Pohnpeian
Polish
Pontic
Portuguese
Prussian
Punjabi
Quechua
Rajasthani
Rapanui
Rarotongan
Riffian
Romagnol
Romanian
Romansh
Romany
Rombo
Root
Rotuman
Roviana
Rundi
Russian
Rusyn
Rwa
Saho
Sakha
Samaritan Aramaic
Samburu
Samoan
Samogitian
Sandawe
Sango
Sangu
Sanskrit
Santali
Sardinian
Sasak
Sassarese Sardinian
Saterland Frisian
Saurashtra
Scots
Scottish Gaelic
Selayar
Selkup
Sena
Seneca
Serbian
Serbo-Croatian
Serer
Seri
Shambala
Shan
Shona
Sichuan Yi
Sicilian
Sidamo
Siksika
Silesian
Simplified Chinese
Sindhi
Sinhala
Skolt Sami
Slave
Slovak
Slovenian
Soga
Sogdien
Somali
Soninke
South Azerbaijani
South Ndebele
Southern Altai
Southern Sami
Southern Sotho
Spanish
Sranan Tongo
Standard Moroccan Tamazight
Sukuma
Sumerian
Sundanese
Susu
Swahili
Swati
Swedish
Swiss French
Swiss German
Swiss High German
Syriac
Tachelhit
Tagalog
Tahitian
Taita
Tajik
Talysh
Tamashek
Tamil
Taroko
Tasawaq
Tatar
Telugu
Tereno
Teso
Tetum
Thai
Tibetan
Tigre
Tigrinya
Timne
Tiv
Tlingit
Tok Pisin
Tokelau
Tongan
Tornedalen Finnish
Traditional Chinese
Tsakhur
Tsakonian
Tsimshian
Tsonga
Tswana
Tulu
Tumbuka
Tunisian Arabic
Turkish
Turkmen
Turoyo
Tuvalu
Tuvinian
Twi
Tyap
Udmurt
Ugaritic
Ukrainian
Umbundu
Unknown Language
Upper Sorbian
Urdu
Uyghur
Uzbek
Vai
Venda
Venetian
Veps
Vietnamese
Volapük
Võro
Votic
Vunjo
Walloon
Walser
Waray
Warlpiri
Washo
Wayuu
Welsh
West Flemish
Western Frisian
Western Mari
Wolaytta
Wolof
Wu Chinese
Xhosa
Xiang Chinese
Yangben
Yao
Yapese
Yemba
Yiddish
Yoruba
Zapotec
Zarma
Zaza
Zeelandic
Zenaga
Zhuang
Zoroastrian Dari
Zulu
Zuni
*
Languages Known
*
Family Status
Family Status
Poor
Middle Class
Upper Middle Class
High Class - Rich
*
Father's Name & Occupation
*
Mother's Name & Occupation
*
Siblings and their details
*
Presently In
*
Eating Habits
Eating Habits
Veg
Non - Veg
Both
*
Ornaments
Ornaments
Yes
No
No Problem
*
Tea & Coffee
Tea & Coffee
Yes
No
No Problem
*
What is Gospel - Describe in Your own words
TELL US ABOUT YOU
*
How would you describe your knowledge of the Bible?
*
Have you used alcohol or illegal drugs during the past two years? Please explain.
*
What are your hobbies and interests?
*
How would you describe your devotional life?
*
Do you attend your church in person? If the answer is NO, please explain.
*
If your separated or divirsed shall we know the reason of your separation
CHURCH INFORMATION
*
Name of Home Church
*
Church Pastor phone or Email
*
Are you a baptized SDA?
--- Please Choose ---
Yes
No
*
Years of Baptism
*
How long have you been an active member of your church?
*
Church Positions Held
*
Baptized at (Church Name)
*
Baptized by (Pastor's Name)
REFERENCES
*
Pastor's Name
Pastor's Email
*
Pastor's Phone
*
Elder's Name
Elder's Email
Elder's Phone
*
Character Reference #1 Name
Character Reference #1 Email
*
Character Reference #1 Phone
Character Reference #2 Name
Character Reference #2 Email
Character Reference #3 Phone
TESTIMONY
*
Please share a little about yourself and your family.
*
How was your life before you decided to follow Christ?
*
Are you willing to attend AMA marriage counselling course.
--- Please Choose ---
Yes
No
*
Please describe your conversion experience.
*
Tell us about your life today. What are your goals?
*
May we use your testimony in print, audio, or video format to inspire others? (Your answer to this question will not affect your application).
--- Please Choose ---
Yes
No
*
What do know and think about Adventists
Submit