Freedom Ministries Application Form

General Information about the form and what happens next....

Freedom Ministries Application and Release & Disclaimer Form for Prayer Ministry

Name

First

Last

Date of Birth

Mobile

Type of ministry that you are applying for:

Prayer Ministry

Deliverance

In what way would you like your prayer ministry to take place?

In person, Paradox Church Ministry Rooms

Online

For Online ministry - state location and or timezone

1. What are the current issues you want to address at Freedom Ministries?

Please be specific and please limit your answer to a paragraph.

2.1 Have you ever been diagnosed, or has it been suggested that you be tested for any of the following:

BPD or EUPD (Emotionally Unstable Personality Disorder)

DID (Dissociative Identity Disorder)

DID with SRA (Satanic Ritual Abuse)

ASD (Autism Spectrum Disorder

Bi-Polar

Schizophrenia

Clinical Depression (We are looking here to see if the depression is debilitating and if you are unable to concentrate, focus, or deal with deep issues of the heart).

Any other mood disorder, diagnosis.

None of the above

It is essential for us to know if you have been diagnosed with any specific medical conditions. This is asked of everyone and done for two reasons: • So, we can determine whether we are able to provide the help you are seeking. • To assure your safety during your ministry time with us.

2.2 If you have been medically diagnosed with any of the above - When was that diagnosis made?

2.3 Are you receiving treatment for mental health?

Yes

2.4 If yes, what kind of treatment?

2.5 Are you seeing a therapist?

Yes

2.6 Are you on a prescribed medication for this issue?

Yes

3.1 Have you had any type of ritual abuse (such as cult or satanic ritual abuse?

Yes

3.2 If yes, briefly explain - when, where, what type cult or SRA.

4.1 Do you have any addictions such as alcohol or drugs?

Yes

4.2 Are you currently using any illicit drugs?

Yes

4.3 Are there any other addictions? Please specify.

Anyone currently addicted to alcohol or other drugs will need to have stayed clean and sober for 90 days before having prayer ministry with Freedom Ministries.

5.1 Have you ever planned or attempted suicide?

Yes

5.2 If yes, when?

5.3 Relate the necessary details of this event/s here -

RELEASE & DISCLAIMER FORM - 1. I acknowledge that I understand the above information concerning prayer ministry.

Yes

2. I acknowledge that I have sought prayer ministry of my own free will.

Yes

3. I acknowledge that all personal information I reveal is given voluntarily in order to facilitate the healing process.

Yes

4. I acknowledge that I release my Prayer Ministers from any liabilities and retributions.

Yes

5. I acknowledge that I further understand that, if at any time the Prayer Minister determines that I require services beyond his or her scope of training they will decline to provide services. If this occurs, the Prayer Minister may be able to provide a reference to other professionals or agencies. I acknowledge that a referral represents only a suggestion as to where I might obtain assistance, and in no way obligates the Prayer Minister or the referred professional or agency.

Yes

6. I acknowledge that I recognise that the outcome of prayer ministry is dependent upon a number of factors and results cannot be guaranteed.

Yes

7. I acknowledge that I have read all of the preceding information and understand the purposes of prayer ministry and am aware of its limited scope of services as well as compliance to Freedom Ministries’ duty of care policies.

Yes

8. I am the person named above and have completed this form myself.

Yes

9. I have read and agree with the above terms of prayer ministry with Freedom Ministries.

Yes

Signed

Full Name

Date:

Book a Prayer Ministry Session

Before we can move forward to schedule your ministry appointment or place you on a wait list, please first complete the Prescheduling Questionnaire by clicking the booking button below.

Bookings

Donate to Freedom Ministries

As a nonprofit organisation, Freedom Ministries is totally dependent upon the generous contributions of others. This enables us to continue to offer pastoral care to hurting hearts. To make a donation to Freedom Ministries please click the button below.

Donate

More Information about Elijah House

To find out more information about the training our prayer ministers undergo, or to consider being trained yourself as a prayer minister, please click the button below.

Elijah House