Marital History Questionnaire

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Being separated, divorced, or remarried does not automatically eliminate you from consideration as A.C.T. 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 A.C.T Intl.
All information you submit on this form will be kept in strict confidence and only necessary A.C.T. Intl leadership will have access to it. If you are uncomfortable submitted this information online, Click Here to request a Word doc version of this form.

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 -

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 -

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.