Care Coach/Breakthrough Prayer Application Form

Care Coach/Breakthrough Prayer Team Application

Thank you for your interest! No college degree or professional experience necessary. *Must complete volunteer application prior to filling out Care Coach/Breakthrough Prayer Team application*
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
How long have you been following Jesus?
How did you come to know Jesus?
How is God currently moving in your life?
What church are you attending?
What areas are you involved in at church?
What draws you toward the ministry of serving as a Care Coach or Breakthrough Prayer Team member?
Please list 3 references and provide their contact information.
Reference #1 *

First Name Last Name
Phone Number *

Area Code Phone Number
Reference #2 *

First Name Last Name
Phone Number *

Area Code Phone Number
Reference #3 *

First Name Last Name
Phone Number *

Area Code Phone Number
Any Additional Comments?
Please Carefully Read Our Theological Statement
By signing, I agree to biblically advise persons in accordance with, and not contrary to, the contents of this document.
Electronic Signature *
Full Name
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Care Coach/Breakthrough Prayer Team Application