Student Life Coaching Request Form

With a little help and encouragement, low-income students, some coming from complicated family situations, can live in a ministry house, land a good job, and go to college. But without help, important things like not being able to get a driver’s license impede their progress toward these goals. Coaches provide practical guidance that is crucial to helping students take the next step toward becoming independent, self-sufficient adults. 

After completing this request form, you will be contacted by Liz Sweet. 

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Email *
Name (First & Last) *
Age: *
Dwell Homechurch *
Discipler Name *
Do you currently live in a ministry house? *
* If you answered "No, I don't plan on moving into a ministry house", could you briefly explain why?
Brief explanation of why you believe life coaching would be beneficial for you: *
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