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The Hub
Connect
Resources
Ministries
- Adoption + Foster Care
- Arts & Culture
- Care & Counseling
- CAM
- Kids
- 한인 공동체
- Latino
- Outreach
- Prayer
- Restore
- Sending
- Students
Give

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Care Application

Apply for Care

Please complete this form. If you already have an account, please log in first.

Before completing this form, please read and sign the Care Expectations and Consent Form.

Care

First Name

First Name cannot contain special characters such as quotes, parentheses, etc.First Name cannot contain emojis or special fonts.

First Name is required.

Last Name

Last Name cannot contain special characters such as quotes, parentheses, etc.Last Name cannot contain emojis or special fonts.

Last Name is required.

Email address is not valid

Email is required.

Mobile Phone

Please read and sign the Sojourn Gospel Care Expectations and Consent Form (see above)

Yes - I have read and signed the Expectations and Consent Form No - I have not read and signed the Expectations and Consent Form

Please read and sign the Sojourn Gospel Care Expectations and Consent Form (see above) is required.

Gender

Male Female

Gender is required.

Address

Age

Age is required.

Occupation and place of work

Occupation and place of work is required.

Are you a student? If yes, where?

Are you a student? If yes, where? is required.

Marital status

Marital status is required.

If separated, divorced, or widowed, please share relevant dates or details.

If you are married, is your spouse a student? If so, where?

Names and ages of children

Names and ages of children is required.

Who are you currently living with?

Who are you currently living with? is required.

Are you a Christian?

Yes No Not Sure

Are you a Christian? is required.

What is your church membership status?

Member at Sojourn Member in process Not a member

What is your church membership status? is required.

How are you actively serving your church?

How are you actively serving your church? is required.

Are you in a community group? If yes, who are your CG leaders?

Are you in a community group? If yes, who are your CG leaders? is required.

Have you shared the issue you're seeking care for with your CG?

Have you shared the issue you're seeking care for with your CG? is required.

Please rate the severity of your present concerns.

Please rate the severity of your present concerns. is required.

Reason for seeking care

Life struggle Crisis situation Marriage FamilyReason for seeking care is required.

When did your present concern begin to be a problem for you? Briefly describe why you're seeking care.

When did your present concern begin to be a problem for you? Briefly describe why you're seeking care. is required.

Where are your concerns causing the most problems for you?

Home Work Marriage Other relationshipsWhere are your concerns causing the most problems for you? is required.

Have you spoken to a pastor or church leader at Sojourn already? If so, who?

Do we have your permission to share this information with the appropriate ministry leaders to arrange for the best possible care?

Yes No

Do we have your permission to share this information with the appropriate ministry leaders to arrange for the best possible care? is required.

How can the Care team help you?

How can the Care team help you? is required.

What do you hope to achieve through your process of care? Briefly list two to three goals.

What do you hope to achieve through your process of care? Briefly list two to three goals. is required.

Check all of words that describe your personality.

Active Ambitious Calm Cheerful Easy-going Extrovert Good-natured Hard-working Imaginative Impatient Impulsive Independent Leader Likeble Lonely Moody Nervous Often blue Perfectionism Persistent Quiet Sad Self-confident Self-conscious Sensitive Serious Shy SubmissiveCheck all of words that describe your personality. is required.

Check all of the words that help describe aspects of your situation.

Alcohol abuse Anger Anxiety Bitterness Body image issues Drug abuse Eating struggles Fear of rejection Feel depressed Feeling numb Financial struggles Hopelessness Insecurity Jealousy Laziness Lying Porn struggles Self harm Selfishness Sexual struggles Shame Singleness Social anxiety Unforgiveness Video game addiction Withdrawnness Workaholism WorthlessnessCheck all of the words that help describe aspects of your situation. is required.

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About Us

Sojourn Midtown is a part of the Sojourn family of churches. Our mission is to reach people with the gospel, build them up as the church, and send them into the world.

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