Become a Mentor

This form captures helpful background information for the marriage mentoring program, From Couple to Couple, as well as the matching process with mentees. Please fill out & submit the form below. Alternatively you can download this form here & submit via e-mail.

Husband's Name*
First Last
Wife's Name*
First Last
Email*
Phone*
Wedding Aniversary*
Date Format: MM slash DD slash YYYY
Do you have children?*
- Yes
- No
Which one of these categories are you most interested in being marriage mentors?*
- Premariatal Education: building solid foundataions for engaged & newlywed couples.
- Strengthening Marriages: deepening & enriching stable marriages.
- Repairing Marriages: encouraging couples in distress
Will you have time to meet with a mentee couple bi-weekly for 4-6 sessions (each a maximum of 2 hours)?*
- Yes
- No
Can you make a 3 month commitment to mentoring?*
- Yes
- No
Date you are able to start*
Date Format: MM slash DD slash YYYY

If you are able to start anytime please select today's date.
Do you have any other schedule considerations or concerns?
Please check the boxes next to each description below that is true for your couple experience in marital history to help us match you with a mentee couple. (Mark all that apply)*
- Married after one or both of us was 35 yrs old.
- Married young when one or both of us was under 21 yrs old.
- One of both of us was previously married.
- Have a family with five or more children.
- Have a special needs child or children.
- Experienced losing a child.
- Experienced the inability to have children (infertility).
- Experienced the challenges of having to work long hours.
- Both work outside of the home.
- We have learned how to stay connected despite a demanding travel schedule.
- Experienced difficult in-laws.
- Have learned to deal with conflict in respectful and/or healthy ways.
- Had to learn healthy ways to communicate.
- Navigated through an unemployment crisis.
- Loved each other through a serious illness.
- Experienced unfaithfulness & forgiveness.
- Benn through a financial crisis together.
- Have learned the benefit of having a financial budget .
- Experienced recovery from an addiction.
- Learned the importance of negotiating sexual needs.
- Especially enjoy doing challenging adventures together.
- Found ways to enjoy the same type of activities together.
- One of us found healing from a difficult family of origin issue.
- Come from a different faith background.
- Raised with different cultural backgrounds.
- In a blended family (step-family.
If you have experienced an impactful crisis that you are comfortable sharing, please describe the issue & how you dealt with it:
Red Flag Statements
1. You are currently battling an addiction (gambling, pornography, drugs, alcohol, etc.)
2. You have uncontrollable emotional outbursts that you have not yet managed.
3. You have recently suffered a significant setback (financial, emotional, etc.).
4. Your marriage is not stable or is fraught with frequent conflict.
5. You have suffered serious emotional wounds from some kind of abuse in your life and you are still trying to find healing.
6. You are struggling with significant financial debt.
7. One of you is far more motivated to become a marriage mentor than the other.
8. You do not have a sense of meaning and purpose in your life.
9. You are pessimistic about marriage in general.
10. You avoid personal responsibility for problems in your life.
11. You are not content and at peace with your life and your marriage.
12. You are not living your life by the principles of Krsna consciousness.
13. You are primarily motivated to be marriage mentors to help your own marriage.
14. You have been told by others that you may not be in a good place to be marriage mentors right now.
According to the Red Flag Statements above, we are in a good place to be effective Marriage Mentors*
Yes No
Husband
Wife
Please write down why you want to be marrige mentor educators & feel free to write any additional comments here:*

Thank you for filling out this form and for your commitment to serve as marriage mentor educators. Thanks to Drs.Les and Leslie Parrot, for their valuable information on the process of mentoring.

The GVT is a grass roots volunteer group of Krishna devotees who are mostly mental health or educational professionals. Our intention is to provide resources to support married couples and prospective couples primarily in North American ISKCON communities. However, the broader community of Vaishnavas, and anyone who is interested in spiritual married life are welcome to take advantage of the knowledge that is shared here. We want to help spiritualize your married life so that it will be an asset for your Krishna (God) consciousness. We welcome your suggestions to make this site relevant and useful.

Become a Mentor

Red Flag Statements

Healthy Marriages. Happy Families. Strong ISKCON.

It’s our vision that each couple has access to premarital education by qualified mentors

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Become a Mentor

Heart & Soul Connection

LOVINGLY GUIDED BY

	Yes	No
Husband
Wife