General Information Pastor Chris Calendar Request Prayer Request Referral Request Spiritual Care

Links

Services Times

Sunday Service
9:30am

Wednesday Services
7:00pm - Bible Study*
7:00pm - Kidz Club
7:00pm - Youth

*Every first Wednesday of the month join us for a night of Prayer & Praise.

Spiritual Care Form:

Spiritual Care is providing biblically based spiritual guidance (one-to-one conversations) to individuals for the purpose of healing, restoration, and living lives honoring to God. Spiritual Care is a context where individuals can address life’s challenging issues with another individual in an environment where they will be heard. If you need to receive help through Spitual Care please fill out and submit the form below.

Name:

Address:

Zip:

Email Address:

Home Phone:

Business Phone:

Date of Birth:

Maritial Status:

Age:

Sex:

Male
Female

Do you attend church?

Yes
No

If so, where:

Are you a member of the Church?

Yes
No

Would you describe yourself as a Christian?

Yes
No

If yes, please briefly describe your testimony of becoming a Christian:

Do you consistently have weekly fellowship with fellow believers (Church, Bible Study, Etc.):

NATURE OF YOUR REQUEST FOR SPIRITUAL CARE: (check all that apply)

Depressed (recent)	Life direction	Forgetfulness	Unforgiveness
Depressed (always)	Relationship(s)	Hearing voices	Rejection
Fearful (recent)	Family	Hallucinations	Ambivalence
Fearful (always)	Spouse	Loss of Sleep	Nightmares
Anger (recent)	Children	Loneliness	Memories
Anger (always)	Relative(s)	Suspicions	Obsessions
Tragedy (recent)	Parents	Mood changes	Perfectionism
Tragedy (past)	Career/School	Restlessness	Pride/Envy
Betrayal (recent)	Spiritual need	Anxiety/Panic	Bad behaviors
Betrayal (past)	Emotions	Eating Problem	Lust/Jealousy
Feeling empty	Childhood	Alcohol/Drugs

Briefly describe your reasons for seeking our help: