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  1. Complete/Print or Print/Complete the 5 Page Application. After you have spoken with one of our coaches or counselors, please complete and print the 5 page application. NOTE: If you are married, both spouses must complete page one separately down to and including the Personality Style Inventory. Then please mail your completed package TO INCLUDE COPIES OF YOUR INCOME TAX RETURNS FOR THE LAST TWO YEARS, AND A RECENT PAY STUB, AND COPIES OF YOUR MOST RECENT CREDITOR STATEMENTS to

    Christian Financial Ministries
    302 Old Clay Street
    Marietta, GA 30060

    We will be back in touch with you the day we receive your application package.

  2. Have you commpleted any of these education programs?
      Dave Ramsey's Financial Peace University
      Crown Ministries Small Group Program
      Christian Financial Ministries' Personal & Financial Life Coaching Program
      Christian Financial Ministries 12 Month Financial Freedom Boot Camp
  3. COUNSELING APPLICATION SURVEY FORM
Please select the ONE set of circumstances that BEST describes your present situation:
Personal assets liquidated; possible jail time; credit record impacted for 10 years; sleepless nights; depression; withdrawal from family and friends.
  Threatening phone calls and letters from creditors; lots of arguments over money; credit cards "maxed" out; begin working two or three jobs.
  Expenses exceed income; only able to make minimum payments; handle emergencies with credit cards; no savings; peer pressure.
  Income = Expenses; "surprises" consistently prevent any attempts to save; lots of worry, anxiety, and fear about the future.
  Income greater than expenses; bills consistently paid on time; regular savings; 3-6 month emergency fund has been established.
  No worries about debt, investments, or material things.  Consistently using surplus funds for meeting needs of God's people; inner joy in abundance.

 
  1. Briefly describe your current spiritual journey. Include any short-term (one year or less) and long-term (greater than one year) spiritual goals. Have you come to the point that you know for sure that when you die you will go to heaven to be with God?


  2. Briefly describe your current financial situation. Include any short-term (one year or less) or long-term (greater than one year) financial goals.

  3. How did you hear about us?
    Am Family Assn
    Chapel Hill
    Church
    Christiannet
    Dave Ramsey
    Friend
    His Voice
    Internet Search
    Parkaire
    TV
    Yellow Pages
    Other
      Other:  

  4. Personality Style Inventory

Directions: Rate each line of words from left to right on a 4, 3, 2, 1 scale with 4 being most like you and 1 being least like you. Use each rating only once.

Correct: Commanding Enthusiastic Cordial Detailed
Incorrect: Commanding Enthusiastic Cordial Detailed
Incorrect shows two answers with the same number.
A. Commanding Enthusiastic Cordial Detailed
B. Decisive Expressive Caring Particular
C. Tough-Minded Lively Kind Meticulous
D. Independent Fun-Loving Peaceful Follow Rules
E. Daring Outgoing Understanding High Standards
F. Dominant Promoter Tolerant Prepared
G. Opportunistic Loud Adaptable Precise
H. Confident Inspiring Supportive Logical
I. Self Reliant People Person Patient Conscience
J. Bold Talkative Gentle Analytical
K. Adventurous Popular Even-Paced Organized
L. Take Charge Uninhibited Good Listener Factual
M. Assertive Impulsive Cooperative Accurate
N. Direct Excitable Gracious Efficient
O. Frank Entertaining Accommodating Determined
P. Forceful Playful Agreeable Systematic

 

7. Just For Those With Home Mortgages

  1. Are you delinquent on your mortgage payment? Yes__ No__
  2. If "yes," how many months? ___
  3. Have you received notice that you home is in foreclosure? Yes __ No __
  4. When did you buy your home? _______________
  5. Have you refinanced since you first bought your home? Yes __ No__
  6. If "yes," how long ago? _______

8. Ethnicity (to help us comply with Federal Reporting Requirements)

  1. Hispanic ____
  2. Not Hispanic ____
  3. Chose not to respond ____

9. Race (to help us comply with Federal Reporting Requirements)

  1. American Indian/Alaskan Native ____
  2. Asian ____
  3. Black or African American ____
  4. Native Hawaiian or Other Pacific Islander ____
  5. White ____
    After Printing, Click Here For Form 2
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