Counseling Application For Married Couples

Flatirons Community Church

Added: 7/1/2025

First Name

Last Name

Cell Phone Number

Spouse's First Name

Spouse's Last Name

Spouse's Cell Phone

Spouse's Email

Address

Have you read the attached “Criteria for Counseling”?

Have you applied for counseling reimbursement from Flatirons in the past?

How long have you attended Flatirons?

Which Campus?

Where are you connected at Flatirons? (What ministry do you volunteer in? etc.)

Submit