Shepherding Form

* Indicates required field

Name *

First

Last

Spiritual needs

(Sunday 10AM, Wednesday 7PM, and Encouragement with Pastor Jim Fridays at 7PM)

Are you able to watch the services on Facebook Live? *

Yes No

If not, can you listen to the podcast on our website (gotofoursquare.com) or would you like a cd mailed or dropped off to your home.

Choose One *

Podcast CD

Physical needs

Are you in need of anything? Food? A ride? Cleaning supplies? ETC.

Write in the request here. *

Emotional Needs

We are wanting to identify those who are the most isolated. If they live alone or seem lonely, ask the following and try to have a conversation if it opens up.
1. What have you been spending your time doing?
2. Do you have anyone that comes and checks in on you?

We are sending cards and notes. If you feel this person could really use one, check the yes box.

Card Request *

Yes

Offer to pray for them.

Do you have an email that the church could use to send you information? This helps us to communicate through mass email.

Email Address *

Add any additional comments or things we may need to know in the box below.

Comment *

Submit