Request to have a Care Leader

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Welcome!

We are excited to match you with a Mission Care Leader!

A Care Leader keeps in touch with you to see how you are doing, prays for you, and can direct you to Mission ministries.

By completing this form, you are agreeing that a Care Leader may contact you personally on a regular basis.
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First, which fits you?
I am requesting just for me
I have a significant other and we both want to have the same Care Leader/Care Leader couple
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Please select:
Neither of us have a Care Leader yet
One of us already has a Care Leader
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Which would you like to do:
Be rematched, this time as a couple, with a different Care Leader/Care Leader couple
Add the significant other to the same Care Leader one of you presently has
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Please enter the name of the one of you who presently has a Care Leader:
First Name
Last Name
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Got it. We will work on this request. Please answer the rest of the form according to the info only on the one of you being added:
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We will work on your request to rematch you as a couple. In order to do that, we need to put a new request through with both of your info on it. Let's get the info for you first:
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Got it! Let's get info the info for you both, starting with your info first:
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Please enter your name:
First
Last
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How long have you attended The Mission?
Less than one year
1-3 years
3+ years
I don't attend The Mission
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Are you a new Believer?
YESNO
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How old are you?
Under 18
18 - 25
26 - 45
46 - 59
60 or above
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Please select your gender:
Male
Female
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Please select any that apply regarding your status:
I am single with no family nearby
I am single with family nearby
I am married with no children living at home
I am married with children living at home
I am a single parent with children living at home
I am widowed
I am in the military
My spouse is in the military
Other
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Where do you live?
City, State
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Your email
Your phone, preferably one that receives texts
Please Select
Please Select
receives texts
doesn't receive texts
This phone...
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Please enter your name:
First
Last
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How long have you attended The Mission?
Less than one year
1-3 years
3+ years
I don't attend The Mission
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Are you a new Believer?
YESNO
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How old are you?
Under 18
18 - 25
26 - 45
46 - 59
60 or above
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Please select your gender:
Male
Female
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Please select any that apply regarding your status:
I am single with no family nearby
I am single with family nearby
I am married with no children living at home
I am married with children living at home
I am a single parent with children living at home
I am widowed
I am in the military
My spouse is in the military
Other
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Where do you live?
City, State
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Timer
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Admin, please select the FIRST one that they are on this list:
Please Select
Please Select
1 A Hand Picked Care Leader and/or their significant other
2 A Connect Care Leader and/or their significant other
3 Mission Staff and/or their significant other
4 An Elder and/or their significant other
5 60 yr+ widow without good local support from relatives, known for good deeds, not new at The Mission
6 A New believer and/or their significant other
7 A significant other of someone already in Care, wants to be added to same Care Leader
8 A couple that wants to be rematched because is a couple now, significant other already in Care
9 A (not new) Mission attender who could be a good potential Care Leader soon
10 (Not new) other categories that are in higher need of support/connection (singles, orphans, widowers, military, etc.)/and or their significant other
11 A (not new) Mission attender that doesn’t fit the above, and/or their significant other
12 Newcomer: Other categories that are in higher need of support/connection (singles, orphans, widowers, widows, military, etc.)/and or their significant other
13 Newcomer (who doesn’t fit the above) who seems is ready to get connected/and or their significant other
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Your email
Your phone, preferably one that receives texts
Please Select
Please Select
receives texts
doesn't receive texts
This phone...
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Here you can look through the Care Leader photo directory, if you would like. You will select up ahead. (Want a closer look? You may need to tap, and then use the + or square button to enlarge it.)
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In regards to choosing your Care Leader, which would you like?
I would like to choose.
Please choose a Care Leader for me. I don't have a preference.
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Which would you both like?
Please choose a Care Leader for us. We don't have a preference.
We would like to choose.
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Please select your top 3 choices for your Care Leader. Individual Care Leaders are listed by FIRST name, and Care Leader couples by LAST name.
Please Select
Please Select
Alex Banuelos
Alison Clay
Andy Fontaine
ARNOLD, Mo (Maurice) and Lacresia
Audie Kastilahn
AUREA, Clark and Eileen
Autumn Shafer
BANUELOS, Alex and Ewa
Barbara Derflinger
BERNARDO, Gregg and Jennifer
BERNARDO, Stephen and Nicki
Bert Moreno
Beth Hampton
Beth Roberts
Christian Scott
Christopher Sirard
Clark Aurea
Courtney Sirard
DOMANSKY, Larry and Pat
Eileen Aurea
Ewa Banuelos
Faye Smith
FONTAINE, Andy and Leslie
Frann Sullivan
George Elrod
Gloria Friesen
Gregg Bernardo
Jennifer Bernardo
Jennifer McDermott
JoAnn Reyes
JoEllen Kenyon
Josh Hampton
Keauna Preheim
Lacresia Arnold
Larry Domansky
Leslie Fontaine
Lisa Heiderick
Lisa Randall
Lora Clarke
Lori Santos
Luis Sullivan
Marsha Cornwell
Mo (Maurice) Arnold
Melanie Jakovleva
Melody Garcia
Mercy Wang
MORENO, Bert and Kim
Nicki Bernardo
Pat Domansky
READ, Ron and Shelby
ReGina Duncan
REYES, Rudy and JoAnn
Richard Bulger
Ron Read
Rudy Reyes
Shelby Read
SIRARD, Christopher and Courtney
Stephen Bernardo
Tammy Drake
Tiffany Lane
Troy Fetterly
First choice
Please Select
Please Select
No preference
Alex Banuelos
Alison Clay
Andy Fontaine
ARNOLD, Mo (Maurice) and Lacresia
Audie Kastilahn
AUREA, Clark and Eileen
Autumn Shafer
BANUELOS, Alex and Ewa
Barbara Derflinger
BERNARDO, Gregg and Jennifer
BERNARDO, Stephen and Nicki
Bert Moreno
Beth Hampton
Beth Roberts
Christian Scott
Christopher Sirard
Clark Aurea
Courtney Sirard
DOMANSKY, Larry and Pat
Eileen Aurea
Ewa Banuelos
Faye Smith
FONTAINE, Andy and Leslie
Frann Sullivan
George Elrod
Gloria Friesen
Gregg Bernardo
Jennifer Bernardo
Jennifer McDermott
JoAnn Reyes
JoEllen Kenyon
Josh Hampton
Keauna Preheim
Lacresia Arnold
Larry Domansky
Leslie Fontaine
Lisa Heiderick
Lisa Randall
Lora Clarke
Lori Santos
Luis Sullivan
Marsha Cornwell
Mo (Maurice) Arnold
Melanie Jakovleva
Melody Garcia
Mercy Wang
MORENO, Bert and Kim
Nicki Bernardo
Pat Domansky
READ, Ron and Shelby
ReGina Duncan
REYES, Rudy and JoAnn
Richard Bulger
Ron Read
Rudy Reyes
Shelby Read
SIRARD, Christopher and Courtney
Stephen Bernardo
Tammy Drake
Tiffany Lane
Troy Fetterly
Second choice
Please Select
Please Select
No preference
Alex Banuelos
Alison Clay
Andy Fontaine
ARNOLD, Mo (Maurice) and Lacresia
Audie Kastilahn
AUREA, Clark and Eileen
Autumn Shafer
BANUELOS, Alex and Ewa
Barbara Derflinger
BERNARDO, Gregg and Jennifer
BERNARDO, Stephen and Nicki
Bert Moreno
Beth Hampton
Beth Roberts
Christian Scott
Christopher Sirard
Clark Aurea
Courtney Sirard
DOMANSKY, Larry and Pat
Eileen Aurea
Ewa Banuelos
Faye Smith
FONTAINE, Andy and Leslie
Frann Sullivan
George Elrod
Gloria Friesen
Gregg Bernardo
Jennifer Bernardo
Jennifer McDermott
JoAnn Reyes
JoEllen Kenyon
Josh Hampton
Keauna Preheim
Lacresia Arnold
Larry Domansky
Leslie Fontaine
Lisa Heiderick
Lisa Randall
Lora Clarke
Lori Santos
Luis Sullivan
Marsha Cornwell
Mo (Maurice) Arnold
Melanie Jakovleva
Melody Garcia
Mercy Wang
MORENO, Bert and Kim
Nicki Bernardo
Pat Domansky
READ, Ron and Shelby
ReGina Duncan
REYES, Rudy and JoAnn
Richard Bulger
Ron Read
Rudy Reyes
Shelby Read
SIRARD, Christopher and Courtney
Stephen Bernardo
Tammy Drake
Tiffany Lane
Troy Fetterly
Third choice
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Ok. If there is anything else you would like us to know when matching you, you can let us know below.
Should be Empty: