First Counseling Church (Pastor) Acknowledgement Form
First Counseling Church (Pastor) Acknowledgement Form
This form is to be completed by the pastor of the counselee's home church.
Name of Person Seeking Counseling
Name of Person Seeking Counseling
*
First
Last
Name of Church
*
Name of Pastor
*
Pastor's Number
*
Pastor's E-mail
*
Today's Date
*
The following is to be completed by the individual's Pastor:
Is this person/couple a member of your church? How long have you known this member?
*
Please describe the member's level of commitment to the church:
*
Have you or another in your congregation sought to counsel this member in the past? If yes, please explain the situation:
*
Are you supportive of this member receiving biblical counseling from First Counseling at First Baptist Church Jacksonville? Do you have any concerns?
*
Position in Church
*
Phone Number
*
SUBMIT