Metro Community Church - Care Team Request

Care Team Requests

We all face bumps in the road that make us pause and realign. That’s why we’re here—to walk with you, help you take healthy steps forward, and guide you toward renewed hope and wholeness.

First Name

Last Name

Phone Number

Email

How are you connected with Metro Community Church?

Attend Edwardsville Campus

Attend Vandalia Campus

Attend Online Campus

Attend another church

I do not attend church

If you do not attend Metro, how did you hear about the care team?

What concern has caused you to seek help at this time?

How long has this particular issue been a concern?

What do you hope talking to the Care Team member can do to help you?

What have you done so far to address this concern?

What other information would be helpful for us to know?

STATEMENT OF UNDERSTANDING: 1) I understand that I alone am responsible for any decision I make regarding my life and that the Care Team Member I see at Metro Community Church cannot and will not make my decisions for me. 2) I understand that the staff and volunteers at Metro Community Church are not state licensed counselors, therapists, medical, or psychological practitioners. Rather, they are disciples in the Christian faith who are helping me assume my responsibilities in finding freedom and fulfillment in Jesus Christ. 3) I understand that everything I state during these spiritual coaching sessions will be kept in confidence with the exception of supervisor training support, criminal activity or when I am a danger to myself or others.

I understand and agree

Other (explain below)

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