Graced for Glory 1:1 Spiritual Formation Intake Form

Thank you for your interest in the Graced for Glory 1:1 Spiritual Formation Program! This 12-week intensive coaching experience is designed for individuals who are ready to embark on a deeply transformative journey of healing, spiritual growth, and alignment with God’s purpose.

Enrollment is limited, and candidate applications are carefully reviewed to ensure that each participant receives the personalized attention and guidance needed for maximum impact. This application will help us understand your current spiritual needs, challenges, and goals so we can determine if this program is the right fit for you at this time.

Your responses will remain confidential and will allow us to tailor this program specifically to your journey. If space is not currently available or if your application is not accepted at this time, you will be automatically enrolled in our free Group Formation Training until a spot opens during our quarterly enrollment cycle.

We are excited to walk alongside you on this journey of spiritual renewal, breakthrough, and transformation!

Application Process:
- Complete the form with honesty and prayerful reflection.
- Applications will be reviewed within 7 days.
- If accepted, you will receive an onboarding email with next steps.
- If not accepted at this time, you will be invited to participate in our Group Formation Program until a space becomes available.
🔹 Please complete all sections of the form below. We look forward to growing with you!
Personal Information
Name

First NameLast Name
Email
example@example.com
Age Group (Check one):

18–2425–3435–4445+
Phone Number
Please enter a valid phone number.
How would you describe your current relationship with God?

Strong and growingLukewarmSeeking but uncertainJust startingOther
Have you experienced any significant spiritual milestones in your life?

SalvationWater BaptismReceived the Holy Spirit w/ the evidence of speaking in tonguesDeliverance or healingOther
Do you currently engage in any spiritual practices?

PrayerBible studyFastingMeditationOther
What ministry, if any, are you connected with?
What areas of spiritual growth are you seeking to focus on during this program? (Check all that apply):

What areas of spiritual growth are you seeking to focus on during this program? (Check all that apply):Overcoming personal challengesDeveloping a consistent prayer lifeHealing from past woundsUnderstanding my purposeBalancing faith and daily lifeOther
Personal Challenges and Goals
What challenges are currently impacting your spiritual growth?

Lack of consistency in prayer or Bible studyFeeling distant from GodStruggles with forgiveness or healingStress, anxiety, or burnoutDifficulty hearing God's voiceOther
What specific outcomes would you like to achieve by the end of the 12 weeks? program?
Commitment and Expectations
This program requires biweekly 30-minute sessions, personal reflection time, and implementation of biblical spiritual practices. Are you able to commit to this schedule?

yesno
If no, please explain:
What time of day works best for you to schedule sessions?

MorningAfternoonEvening
What is your preferred session format?

Virtual (via Zoom)Phone callIn-Person
Spiritual Self-Reflection

On a scale of 1–10, how would you rate the following?
Your relationship with God:

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10

1 is Poor, 10 is Excellent
Your knowledge of the Bible:

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10

1 is Poor, 10 is Excellent
Your prayer life:

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5

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9

10

1 is Poor, 10 is Excellent
Your emotional wellness:

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10

1 is Poor, 10 is Excellent
Your understanding of your purpose:

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1 is Poor, 10 is Excellent
What do you feel has held you back from deeper spiritual growth in the past?
Are there specific topics or issues you’d like to address in our sessions?
Additional Information
Do you have any specific needs, preferences, or accommodations we should be aware of?
Is there anything else you’d like to share that will help us support you on this journey?
Acknowledgment and Disclaimer

By signing below, I commit to fully engaging in this coaching program with openness and honesty. I understand that this program is designed for spiritual growth and transformation and requires my active participation. By signing below, I acknowledge that this is a free group coaching program designed for spiritual growth. I agree to participate actively and respectfully in all sessions.Graced for Glory, Inc. serves as a mentor and guide, dedicated to empowering individuals through a Christ-centered approach to personal growth and transformation. However, Graced for Glory, Inc. is not a licensed mental health or medical provider. We do not diagnose, treat, or cure any physical, emotional, or mental health conditions. Our guidance should not be considered a substitute for professional medical or mental health care. If you require such services, please consult a qualified healthcare professional.
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Personal Information

Personal Challenges and Goals

Commitment and Expectations

Spiritual Self-Reflection

Additional Information

Acknowledgment and Disclaimer