prayer ministry

This is a short intake form that will help us look at you as a person and your reasons for seeking help at a glance. The information you provide in this form will be kept strictly confidential and is for prayer minister’s use only.

We understand that sometimes you may be hesitant to disclose your identity because of the nature of problem you wish to discuss but we would like to reassure you that these details will not be shared with anyone. We only ask for these details because prayer ministry is an in-depth healing and deliverance process, it is important that the prayer minister is aware of your background for your own safety’s sake. It also helps the prayer minister to prepare in prayer seeking God’s wisdom for the ministry. Therefore we request you to please co-operate. Please try to be as clear as possible in your responses.

Name:*
E-mail:*
Phone:
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Mobile:*
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Age:*
Sex:*
Address:
Seeking Ministry for: (choose all that applies)*
Specify Other:
Your Background:*
Preferred & Alternate Date of Appointment:*
Preferred Time:*

* Indicates required fields

You are advised to go through the Declarations of the Ministry. By submitting the Prayer Ministry Request form, you agree to the Declarations.

Your privacy is important to us. Please read our Privacy Policy.