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Sojourn East Care Request
Please fill out this short form so that our care team can best help you. If you have any questions, please e-mail
eastcare@sojournchurch.com
.
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First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Best way to make first contact
*
Phone
Email
Text
Date of Birth
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/
YYYY
Gender
Male
Female
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Marital Status
Single
Engaged
Married
Separated
Divorced
Widowed
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What is your connection to Sojourn East?
*
Member
Attender
Attend another Sojourn Church
Do not attend Sojourn
Other:
If you have shared your reason for seeking care with another pastor or ministry leader, please provide name(s).
Your answer
Please describe why you are seeking care.
*
Your answer
What type of care are you interested in receiving?
*
I would like to talk to a pastor.
I would like to meet with a lay counselor.
I would like information about local Christian therapists and medical professionals.
I'm not sure. I would like to talk to someone and understand the options.
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