DRUUMM Pastoral Care Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We believe spiritual wellness is a human right, particularly for Black, Indigenous, and Communities of Color who experience disproportionate trauma and harm. Pastoral care is the support and love we offer each other within our beloved community. Led by ordained Unitarian Universalist BIPOC Clergy, the DRUUMM Chaplain Team, in covenant with the DRUUMM Steering Committee, works collectively to provide care to DRUUMM Members through virtual and remote contact.

Please let us know of your request or referral of someone via this online DRUUMM Pastoral Request Form or email chaplain@druumm.org.

The priority of our volunteer chaplains is to support our beloved DRUUMM Community and our Core Value of Healing from Oppression:

In recognizing our systematic oppression and woundedness, we work towards personal and social transformation by providing sacred space to heal from internalized racism and other oppressions. By honoring the suffering, grieving and letting go, we engage in emotional release and catharsis. Seeking self-care, a safe and supportive community, and allies, we work towards collective liberation and healing.

Email *

Name

First and Last Names

Are you a current DRUUMM Member? *

Please check your profile at druumm.wildapricot.org - your username is your email, and request password if needed.

Yes

Unsure

I would like:

To personally connect with a DRUUMM Chaplain

To make a referral

Other:

Clear selection

What is the level of urgency?

Moderate

Urgent

Clear selection

Pastoral request

Tell us about your pastoral request, prayer request or concern.

What is the best way for a chaplain to contact you initially?

Phone Call

Text Message

Mail

Other:

Clear selection

If referral - please provide an address, email, and/or phone for the contact and let us know what type of initial contact - card, email, phone call - would be best.

Any other comments or questions?

Tell us about your pastoral request, prayer request or concern.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of DRUUMM.

Does this form look suspicious? Report

Forms