Healing Room Team Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Confirm Email
*
example@example.com
Male or Female
*
Male
Female
Back
Next
Submit
Who on staff at St. Patrick's knows you best?
*
Briefly share your experience with God:
*
Have you been baptized in the Holy Spirit?
*
Yes
No
Have you received any inner healing prayer (Unbound, Healing the Whole Person etc.)?
*
Yes
No
Do you feel you need inner healing at this time?
*
Yes
No
Are you fluent in a foreign language (in the sense that you could translate for a guest if needed)?
*
Yes
No
What language(s) are you fluent in?
Are you an Encounter School of Ministry alumni?
*
Yes
No
Have you attended the Encounter School of Healing?
Yes
No
Graduation Year
Please explain why you would like to minister on the Healing Team:
*
Are you available on the first Sunday of the month and able to commit to 6 Sundays a year?
Yes
No
Should be Empty: