Application

Agape Inner Freedom

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Application

Inner Freedom Ministry Application

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Gender *

Male Female

Age *

Marital Status *

Single Married Divorced

Address *

Line 1

Line 2

City

State

Zip Code

Country

Have you received ministry from Agape's Inner Freedom Team in the past? *

Yes No

Approximate Date of Ministry *

If you are returning for ministry, how many sessions would you prefer? *

Why would you like to receive ministry with Agape's Inner Freedom Team? *

Who referred you to the Inner Freedom Ministry? *

What church do you attend? *

Do you have a leadership role in your church? *

Yes No

Please describe your leadership role, if applicable. *

Is there someone you can ask to be your prayer partner during these ministry sessions? *

Yes No

Prayer Partner's Name
Your Prayer Partner will need to come to your first meeting and then you will check in with them weekly. *

Will you and your prayer partner be willing to fast the day of or day before your ministry sessions?
Ask the Lord what He wants you to fast. It can be fasting a meal a day, all food, certain foods, media, etc. *

Yes No

At this time, we are scheduling sessions on Mondays. Please indicate all times that will work for you: *

12:00pm 4:00pm 6:30pm

Additional Notes, including scheduling information: *

Submit

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Contact

Agape Inner Freedom is a ministry of Agape Family Fellowship in Tangent, OR
PO Box 198 Tangent OR 97389

Home
What to Expect
Stories
- Feedback Form
About
Speaking
- Blog