Name * First Name Last Name Email * Which Campus do you attend? Alamance Chapel Hill Are you a member of Grace Church? Yes No 1. What brings you here for counseling? * 2. What are your expectations in coming here? 3. Describe yourself. 4. Is there any other information that we should know? 5. Which Pastor are you meeting with? DISCLAIMER STATEMENT * Grace Church provides Biblical Coaching through one-on-one ministry and small group settings. Grace Church pastors and lay leaders are not licensed counselors. If additional emotional and spiritual support is needed beyond our span of care we will recommend professional biblical counseling through a number of available resources. Grace Church reserves the right to take any relevant matters (at the discretion of the pastor or lay leader) to our governing body (lead team/elders). In situations where potential danger or minors may be involved Grace Church will report information to law enforcement or necessary third parties for the protection of all involved. * Grace Church refers those who have received pastoral care out to professional counselors when circumstances warrant a degree of care above what we can provide as pastors and lay leaders giving Biblical Coaching. I have read and agree with the above disclosure statement. I have read the above disclosure statement and I have questions. Thank you! Counseling Form
