DID Coaching Intake Form
About DID Coaching
Applying for DID Coaching sponsorship through BRIDE Ministries International is an opportunity to receive assistance if you have been subjected to the various causes of Dissociative Identity Disorder and, due to financial constraints, cannot afford to finance your own help. This program is named DID Coaching because it is not a counseling service. Not all of our ministers are licensed counselors. This effort is being undertaken by men and women of God that understand how to partner with Jesus Christ in order to help people get free from the bondage of Dissociative Identity Disorder. This process will involve inner healing, deliverance, and practical strategies for more effective daily living.

The process for applying to this program involves several steps. The first step (1) is to fill out this application. Please understand that at the outset of this process, not everyone that applies for help will receive it. The second step (2) is to wait patiently. It could take us a few weeks to review your application. Once this intake form is reviewed it will, if approved, lead to (3) the signing of a contract with a DID coach. This contract will typically have a beginning and end date. When the contract ends, there will be an assessment by both the coach and the client. If both are in agreement, work may continued under other arrangements not involving BRIDE Ministries International.

Name *
Your answer
Date *
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YYYY
Address *
Your answer
Phone Number *
Your answer
Alternative Phone Number
Your answer
Email
Your answer
Gender *
Marital Status *
Employed *
Place of Employment (if applicable)
Your answer
Do you receive regular pay? *
Estimated Annual Salary *
Your answer
Have you received Jesus Christ as your Lord and Savior? *
If yes, in what year did you received Jesus Christ as your Lord and Savior?
Your answer
Have you been baptized by the Holy Spirit with evidence of speaking in other tongues? *
Do you attend a Church? *
If yes, what church do you attend?
Your answer
In order for us to verify your situation, please provide the name and contact information of two references.
Reference 1: Name *
Your answer
Reference 1: Phone Number *
Your answer
Reference 1: E-Mail *
Your answer
Reference 2: Name
Your answer
Reference 2: Phone Number
Your answer
Reference 2: E-Mail
Your answer
Please briefly describe the journey that has taken you to the point that you are applying for this opportunity. Be sure to address why you believe you have Dissociative Identity Disorder. *
Your answer
Please describe to us the nature of your financial situation. *
Your answer
PLEASE NOTE
The primary reasons why we decline help to people are as follows. If it is determined that you do not have dire financial constraints, we will advise you to book a private session with a coach as a self-funded client. We will also decline intake forms that fail to provide significant evidence of Dissociative Identity Disorder symptomology. While we do not diagnose DID in any person, we do look for evidence of its symptomology in the applications that we receive. Demonic oppression alone does not qualify as DID symptomology. While there may be other reasons we decline help to applicants, these are the two most common. Please take the last two questions seriously. Thank you!
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