Catalyst Church Pastoral Care Intake Form

This form will initiate connecting individuals and couples for short-term, personal ministry with our Pastoral Care Team. The goal of this connection will be address immediate issues, provide spiritual encouragement, and bridge these needs into Church Life involvement. Please ensure there is a relational connection to Catalyst Church and the presenting problems are appropriate for our Pastoral Care Team.

Your name *

Email address *

Phone number *

Birthdate *

Gender *

How have you been involved at Catalyst Church? *

Check all that apply

Attended a Sunday Service

Participate in a Community Group

Attended Next Steps

Serve on the Dream Team

Other

Name of Spouse, Fiancé, etc.: (if this ministry for someone who is married, engaged or dating)

Specify the nature of the relationship

Have you reviewed the following? *

-Catalyst Church does not employ professional counselors or offer any professional counseling services

-Instead we provide on-on-one ministry based on sound biblical principles.

-We will need to obtain your consent for this process, which requires your electronic signature

Please provide a brief (1-2 paragraphs max) overview of the ministry need presented. Be sure to be complete by identifying: problems presented, relational strains, and any pertinent information related to this request. *

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