Request a YARN Chaplain
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I would like
Please fill out this form with your name. You can input the referree's information at the end of this form.
To personally connect with a YARN Chaplain
To make a referral
What is the level of urgency?
Make sure to give us this if you want to be called or texted!
How would you (or your referral) like to be contacted?
If you select Phone or Text, you will be contacted from a number ending in 3017
Tell us about your (or your referrals) chaplaincy request, prayer request or concern.
Please describe the conerns that you want to discuss with a chaplain.
Would you (or your referral) like to meet with a chaplain who meets one of these demographic?
Our Chaplain group is diverse but small. We will do our best to meet your needs but we can't promise the world! (Link to Info About Team)
No, anyone will do
If you are referring someone, please provide their name, pronouns, and contact information. By doing so, you acknowlege that this person knows you are making this referral.
Anything else you want to tell us
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