LIFEwalk Team Request

You will be contacted to confirm your request, and LIFEwalk Leadership Team Members will prayerfully discern the team. Please note that the discernment process can take up to a few weeks. If you have an urgent need, please contact Becki Bork, Care Director (614-451-3736 or bbork@ualc.org). After participants have accepted the call to serve, you will be contacted and informed of their names. A team member will contact you to schedule a meeting time and discuss the next steps.

Your LIFEwalk Ministers, and those involved in the discernment process, hold all information in confidence. If we believe your safety is in question, the Care Director or a pastor may be consulted.

I have read the above and understand the purpose of the LIFEwalk Ministry Team. *

First Name *

Last Name *

Your Age *

Marital Status *

Does your spouse know you've contacted us? *

Yes

No

Street Address *

City *

State *

Postal Code *

Email Address *

Home Phone * 🛈

Mobile Phone * 🛈

Please indicate how you would like us to contact you. *

Home Phone

Mobile Phone

Email

Tell us more about you.

Current Church affiliation *

Pastor *

Who referred you to this ministry? *

What days and times are you available to meet on a weekly basis? *

Are you under the care of a counselor, social worker, psychologist or psychiatrist?
If so, who, for how long, and for what? *

What are you expectations of this ministry? *

What is the main issue you are struggling with right now? *

Where do you feel God is in your life, right now? *

What, if any, additional information do you believe would be helpful for your team? *

If you have an urgent need, please contact Becki Bork, UALC Care Director at 614-451-3736 or bbork@ualc.org.

Please review your information and click SUBMIT to send us your application.