Counseling

*
First Last
Are you requesting counseling for yourself?
- Yes
- No
If you selected "No" please provide the name of person and your relationship to them.
Please provide the best contact information for the person needing counseling.
Phone:
Email:
Facebook:
Campus affiliation:
- North Campus
- South Campus
Type of Request:
- Individual Counseling
- Premarital Counseling
- Marriage Counseling
Please provide any additional information regarding this request.
Is the person needing help on the Dream Team?
- Yes
- No
If so, what team do you serve on?
Does the person needing help currently attend a group?
- Yes
- No
If so, what is the name of the group?
Does the person needing help currently lead a group?
- Yes
- No
If so, what is the name of the group?
Thank you for sharing your request. A member of our pastoral care team will follow up with you soon. All information shared is confidential and will be disclosed to members of the pastoral care team on an as needed basis.