Application to Work with Me
Please fill out the information below. Please take your time and prayerfully consider the questions. If I believe we are a good fit, I will reach out via email. I will only be taking on a limited number of clients. If I think we'd be a good fit, I will email you and see if you'd like to be added to a wait list. 
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Email *
First and Last Name *
Date of Birth *
Occupation *
What consultation are you applying for? *
Do you have a relationship with the Lord? If so, describe it to me. It can be that you have none, you want to grow closer, you feel distant, etc.  *
What denomination are you? *
What are your top physical symptom concerns? Please list any diagnoses, etc. *
Why do you want to work with me? *
What are your goals? *
What breakthrough do you crave/desire? Why? *
What do you long to be free from? Emotionally, mentally, spiritually, physically? *
Please use the space below to tell me anything you feel is necessary or anything else the Lord prompts you to include.
If you would like for me to work with your child, please tell me about them: their symptoms, their struggles, their age, etc. Depending on age, I may meet with them and coach you on how to help them.
If you are applying for the Biblical and Spiritual Coaching session, please use the space below to tell me about the area you'd like coaching in, current struggle(s), desired outcomes, etc.  *
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