Sister Circle Counseling Request
Thank you for reaching out to us.  We look forward to setting up a counseling with you and a member of our Leadership Team. Please take a minute and fill out the form so that we can connect you with someone as quickly as possible. Please know that this information is always kept confidential.  
*This is not a request to meet One on One with Circle Pastor Leah**
Sign in to Google to save your progress. Learn more
Email *
Name (First and Last) *
Phone Contact *
What is the best time for your counseling session ? *
Are you looking to meet in person or virtually? *
What area of counseling does this fall under? *
Required
Is this your first counseling sessions or are you requesting a repeat/follow up session?  
Clear selection
Have you previously spoken with an intercessor or coach about this matter? *
Please give a brief description of what you would like to discuss. *
All requests will be reviewed for approval.  Once approved, you will receive a link for booking your session time.  Please note any request received that does not include a brief description will be automatically denied. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy