Wholeness Ministries Application

Wholeness Ministries Application

To schedule your Sozo or Spirit Connection Session please complete the following form below. Our Scheduling office will get back to you via email to set up your session time & date. (Spirit Connection sessions can have 2 people in a session together. Please fill out all other info as person 1.)
What ministry would you like to receive: *

Standard Sozo Educational Sozo Financial Sozo Children's Sozo Spirit Connection
Are you attending a Spirit Connection Session with another person?

Yes No
Full Name *

First Name Last Name
E-mail *
Phone # *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth

Month Day Year Date Picker Icon
Gender

Male Female Non-binary
Person 2 Full Name *

First Name Last Name
Person 2 E-mail
example@example.com
Person 2 Phone #

Area Code Phone Number

Person 2 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth- Person 2

Month Day Year
Date Date Picker Icon
Gender- Person 2

Male Female Non-binary
Martial Status *

Married Single Divorced Separated Widowed
Church Attending
Church City &State
Do you have a leadership role in your church? *

Yes No
How did you hear about this ministry? *
Why would you like to receive this ministry? *
Have you ever been ministered to by a ministry of Life Church?

Yes No
If yes, what ministries?
Have you received counseling from your church or a licensed counselor? *

Yes No
Please check all that CURRENTLY apply to you right now: *

Anxiety Depression Intense Fear Suicidal Thoughts Headaches Increase/Decrease Appetite Sexual Promiscuity Sexual Confusion Drug/Alcohol Abuse Sleep Disturbance Physically Abused Mentally Abused Manipulation Does Not Apply
Are you currently a Life School student? *

1st Year 2nd Year No
Are you comfortable with a mixed gender team for your session? *

Yes No I prefer an all male team I prefer an all female team
Are you able to fast & pray prior to your session? If yes, ask the Lord what He wants you to fast. It can be a fast of one meal per day, certain foods, watching TV, etc. *

Yes No
What days work best for you? *

Wednesday AM Thursday AM Saturday AM Wednesday PM Thursday PM Saturday Afternoon
Payment

There is a fee of $50 per session. This payment helps with Wholeness Ministry expenses, training for our team members and for the value of our time spent with you.
Can you pay the suggested fee of $50 prior to your session appointment? *

Yes No
Should be Empty: