Lift Ministry Request

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Do you need help and encouragement as you’re going through a difficult time in your life? We are a trained group of people, mentors, who are committed to walking with you and connecting you to resources and relationships that will help you succeed in moving forward. Your request will be treated with care and confidentiality.

Name:*
Phone Number & Best time to Call:*
E-mail:
Date:*
Concerns:*
Additional Concerns (Optional):

Confidentiality Disclaimer: The information received is considered confidential unless that confidentiality creates risks to self or others. The information received will be available only to the person receiving information and a member of a small team that may review the information as part of an effective response.