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Freedom Ministry Request

If you are experiencing a suicidal or mental health crisis, please call the Access and Crisis Line at (888) 724-7240. Trained and experienced counselors are available 7 days a week, 24 hours a day to provide support, referrals, and crisis intervention.

You can also call the Access and Crisis Line if you are concerned about someone, just need to talk, have questions about how to offer support, or if you are looking for information about community resources, mental health referrals, and alcohol and drug support services. This is also suicide prevention/intervention hotline.

If you are in an EMERGENCY situation Call 911 and say you need a PERT team or at least a PERT trained officer. PERT = Psychiatric Emergency Response Team: usually a team of 4 consisting of 1 mental health clinician and 3 specially trained law enforcement officers. If a team is not available, asking for a PERT trained officer can be very helpful. ****************************************************************************************** If you are not in a suicidal or mental health crisis, please proceed with the application. The purpose of this form is for us to help you discover the right path as you continue to pursue freedom in Christ. All form responses will be kept 100% confidential and used to match you with the best possible freedom opportunities.

Your name *

Last name

Email address *

What is Freedom Ministry?

The Freedom Ministry works to promote emotional and spiritual wholeness for every member of the All Peoples Church family. We desire for the God of Peace Himself to sanctify us completely, and our whole spirit and soul and body be kept blameless at the coming of our Lord Jesus Christ (1 Thes 3:13). Please tell us about you and your journey so we can best support you in your desire for freedom.

Confidentiality and Care Agreement

I understand that this form will be shared with the Freedom Ministry Pastors and the Freedom Ministry Administrator. The information I provide will be kept confidential and only shared with the Freedom Ministers directly involved in my session. While your information will be safeguarded, you are encouraged to share only as much detail as you feel comfortable, keeping your responses as general as needed to maintain your privacy.

I agree

What type of Freedom Ministry are you requesting?

Inner Healing Prayer

Deliverance Prayer

Pastoral Counseling

Counseling Referral

Celebrate Recovery Referral

How did you find out about this ministry? *

Marital Status: *

Single

Married

Separated

Divorced

Remarried

Do you have children?

Yes

Who were you raised by? *

Parents (mom and dad)

Single parent home (raised by mom)

Single parent home (raised by dad)

Foster Care

Other

Describe your Faith Journey *

Give us an idea of your faith journey. Check all that apply.

I have decided to follow Christ and Jesus is my Lord and Savior

I have been water baptized. (Water baptism is the conscious choice made after surrendering to Christ, symbolizing the old self passing away and the new self rising, fully washed clean before God in obedience).

I have attended an All Peoples "Freedom Day"

I regularly attend weekend services at All Peoples Church

I regularly attend Life Group or a small group at All Peoples

I am currently attending or have graduated from the School of Transformation

N/A

Please briefly describe your salvation experience. *

When did you received Jesus as your lord and savior?

Please briefly describe your present relationship with Jesus. *

Describe your pursuit of freedom *

Help us understand what else you have done in the past to pursue freedom in Christ so we know your journey. Check all that apply. I've experienced....

Freedom Ministry another time at All Peoples

SOZO prayer

Inner healing prayer

Pastoral or professional counseling

N/A

Other

Why are you seeking freedom ministry? *

Describe your current ministry need and how long you have been dealing with the problem. When did the issue begin? Is it ongoing?*

How is your relationship with God being affected? *

How are others that you love being affected? *

How do you feel about yourself because of this? *

What do you see as your contribution to this issue? *

Final Contact Information

Help us get back to you promptly by completing your profile.

Gender *

Birthdate *

Phone number *

Phone type

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

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ALL PEOPLES CHURCH
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619-286-3251