Personal Prayer Session - application form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for applying for a Personal Prayer Session appointment. We're praying that this will be such a blessing to you.

For your reassurance, this form is confidential and will only be seen by the ministry overseers and your assigned team.

Personal details

Name *

Address *

Email *

Phone / mobile number *

Gender *

Female

Male

Prefer not to say

Other:

Are you over 18 years old? *

Yes

Are you part of a Riverside Vineyard small group? If so, which one? *

Prayer appointment - some questions......

Have you had a Prayer appointment like this in the past, either at Riverside Vineyard or another church? If so, approximately when and who with? *

Appointments are scheduled on Thursday evenings between 8-9.30pm. Are you available at these times? *

Yes

We often hold appointments on zoom. Do you have the ability to join a zoom call? *

Yes

Would you be OK if a trainee was present for training purposes? *

Yes

Why are you requesting a Personal Pryaer Session appointment at this time? What are you wanting to work through with the Lord? *

Are you struggling with any of the following at the present time? (tick all that apply) *

Anxiety

Worry

Apathy

Anger

Isolation

Addiction

Resentment

Fear

Depression

Loneliness

Worthlessness

Inadequacy

Lust

Frustration

Sleeplessness

Doubt/unbelief

Required

Are you currently taking medication or receiving any professional help for any of the above issues e.g. GP, counsellor, therapist? If so, please give details. *

Please tell us briefly about your family background *

Liability release form *

I have read the liability release form and am in agreement with it

Required

Thank you!! A member of the team will be in touch

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Riverside Vineyard. Report Abuse

Forms