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VMTC Intake Form

Experience Freedom Through Christ

VMTC Session Intake

The VMTC Intake Form helps us understand your story and spiritual needs so we can prepare a prayer team to serve you with care, confidentiality, and compassion.

This form allows us to learn more about you and schedule your ministry session with the right prayer team. All information is kept private and used only for ministry purposes.

This form is the first step toward your ministry session. After completing it, you’ll meet with our team for an in-person interview as we walk with you toward healing and freedom in Christ.

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Gender
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Address
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City, State, Zip
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Please enter a valid email address.
Session Date Requested
Session Intake
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Do You Attend Church
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If "Yes" which church
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Do you have a personal relationship with Jesus Christ?
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Which of the following best describes the sense of urgency you feel?
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Why are you seeking ministry for yourself? *
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What are your expectations and desires for receiving deliverance ministry? *
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Describe any past issues that you have overcome. If this does not apply to you, please write "not applicable."
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How did you hear about VMTC Ministry?
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Have you ever received professional counseling in the past?
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Have you ever received VMTC prayer ministry *
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If yes, what was it for and what was the outcome? *
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