Application for stipend towards first session with Washtenaw Biblical Counseling
As a church, we want to support as many people as possible as they seek help in the area of mental health. Completing this application will help us determine how best to do this!

If you have any questions, please email

Name *
Your answer
Life stage *
Email *
Your answer
Please confirm email address *
Your answer
LIFE group *
We believe that counseling is most effective when done in the context of having strong friendships, accountability, and mentoring relationships within a church. Do you have relationships like this with anyone in our church? Please elaborate. *
IF YOU ARE NEW TO HMCC, that is great! While you may not have had time to meet many people in our church, please feel free to elaborate on how you would like to begin forming these relationships (i.e. do you have plans to join a LIFE group?).
Your answer
Please briefly elaborate on how you hope receiving counseling from Washtenaw Biblical Counseling will help you. *
Your answer
Please elaborate on any financial need you may have. *
Your answer
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