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Beacon Light International Baptist Cathedral Counseling Request Form
Proverbs 11:14
says
,
Where there is no counsel, the people fall; but in the multitude of counselors, there is safety
.
We are here to listen and guide you safely on your journey as you seek wisdom and understanding in your area of need.
Please complete the following form to submit your Counseling Request.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Spouse's Name (If Married)
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Membership Status
*
Member
Non-Member
Member Number
Your answer
Counseling Type
*
Personal
Couples
Pre-Marital
Marriage
Family
Other:
Counseling Request Details
Please provide any details regarding your counseling request that you would like to share with us. This will help us to better serve your specific need(s).
Your answer
Availability
*
Please indicate all days and times that you are usually available. If you are usually unavailable on a particular day, please select 'Not Applicable (N/A).'
Please note that you may have to scroll horizontally to access more time options.
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
Not Applicable (N/A)
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
Not Applicable (N/A)
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
A copy of your responses will be emailed to the address you provided.
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