Application for Personal Ministry
We will contact you to set up a ministry time.
Name
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Email
*
This address will receive a confirmation email
Phone
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Gender
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Please select one option.
Male
Female
Age
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Address
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Have you received prayer ministry from the NewDay ministry team in the past? If so, when?
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Are you presently, or have you in the past, been ministered to by any other prayer ministries? If yes, with whom?
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Who referred you to our ministry?
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What has prompted you to seek ministry at this time?
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Check Any Past or Present Issues You Currently Struggle With:
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Please select all that apply.
Abortion
Abuse
Addiction/Compulsion
Anger/Aggression
Anxiety
Church Split
Depression
Divorce/Separation
Family Issues
Fear/Phobia
Financial
Grief/Loss
Hiding
Loneliness
Marital Conflict
Occult Involvement
Perfectionism
Premarital Sex
Recent Personality Change
Sexual Issues/Abuse
Suicide
Trauma
Release & Liability
I acknowledge that team members from the NewDay ministry team have voluntarily agreed to pray for me. I understand that this session is not a professional counseling session. I understand that the NewDay ministry team are to the best of their ability, doing what they can to help me achieve more freedom in my life. I understand that if I receive prayer ministry from the NewDay ministry team; the team is committed to respect the disclosed information, and will maintain a pastoral level of confidentiality. The information as needed, may be shared with those in training without revealing my identity. I also understand that the information may be shared with the ministry team. This information as given in writing, from me, may be shared with other persons involved in my healing process. The ministry team is a mandated reporter and is obligated by law to report abuse. I further state that I have voluntarily sought assistance of my own initiative and that I am under no obligation to accept or reject any of the advice or help that I might receive from the volunteer ministry team of NewDay. I agree to hold NewDay Church and its team members free from any and all liability, loss or damage of any kind that may arise as a result of assistance, which I have received, or from my involvement with NewDay Church. I understand that NewDay Church is a non-profit organization that makes no charges for its services. Our team offers biblical spiritual services to anyone who desires them regardless of the ability to pay. All efforts to build this ministry and train our team members are paid directly from donations given to the ministry. We therefore have a suggested donation of $75 per session.
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Please select one option.
I Agree
I have read this disclaimer and release of liability. I understand and agree with it and execute my signature as my free and voluntary act for this and all future ministry sessions with this ministry
*
Please select one option.
I Agree
If person being ministered to is a minor please enter parent name as consent:
Donation
If you choose to make a donation, please make checks payable to NewDay Church or donate below. Your contributions to this ministry are greatly appreciated because they support our further development. Thank you!
Donation
($75.00)
Will donate in person (0)
($75.00)
Will donate in person (0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
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We will contact you to set up a ministry time.
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