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. This is a secure site; however, if you are uncomfortable submitted this information online, there are instructions at the end of the form on how to print and mail it to the Home Office, or Click Here and you can request a Word doc version of this form.

If there is a Pastor, Christian Leader, or Counselor who walked 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 are not comfortable submitting this information online:
  1. Click "Submit" below. It does not send your form. It will take you to a window where you can review your answers and print a copy.
  2. After printing a copy, exit out of that window.
  3. Delete this form from your browser if you wish.
  4. Mail the printed form along with any other related materials to:
Attention Larry Moshell - PRIVATE
Artists in Christian Testimony Intl
7003 Chadwick Drive, STE 354
Brentwood, TN 37027

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.