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Student Care Request Form
Student Care is staffed by The Center for Biblical Living. For more information about CBL visit
www.cbl.org
.
If you are a residential Boyce student, speak to your RA/RD. If you are a commuter Boyce student, fill out this form
https://boycecollege.com/student-life-info/student-care/
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* Required
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
SBTS Status
(Note: If you are a Boyce student, please see above.)
*
Current Southern Seminary student
Spouse of current Southern Seminary student
Other:
Gender
*
Female
Male
Phone #
*
Your answer
Local church
*
Your answer
Marital Status:
*
Single
Married
Other:
Spouse Name (if applicable)
Your answer
Spouse Phone # (if applicable)
Your answer
Spouse Email (if applicable)
Your answer
What is your request?
*
Your answer
Please rate the urgency of your request:
*
Not a big concern just looking for guidance
1
2
3
4
5
A major concern that affects all of life
What have you done about this request? (e.g. spoken with a pastor, sought professional counseling, etc.)
*
Your answer
Is your church/ministry leadership supportive of you receiving care through Student Care?
*
Yes
No
Other:
Appointment Type Preference
*
In-Person
Virtual
Other:
Additional Comments:
Your answer
A copy of your responses will be emailed to the address you provided.
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