Heartland’s Freedom Ministry exists to:

Assist you in leaving your baggage with the baggage keepers I Samuel 17:22
Expect the death of your tormentors I Samuel 17:36
Place the battle in the Lord's hands I Samuel 17:45-47
Knock down the enemy I Samuel 17:49
Cut the enemy's head off with his own sword I Samuel 17:51

Application to Receive Ministry

*The application is not a guarantee that you will receive a time slot. You will either be notified of your time slot or referred to the Pastoral Care office. This form will be sent directly to the Ministry Director.

Name

First Name

Last Name

Subject

Message

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church Affiliation

Pastor's Name

Relationship Status

Single

Married

Widowed

Divorced

Separated

My reason for requesting ministry is:

When did you surrender your heart to the Lord? Please include the details and date.

Are you currently under medical, psychiatric/psychological or court-ordered care? If so, please explain.

Are you currently on any medication? If yes, what?

Have you been convicted of a crime? If yes, please explain.

Have you been required to register as a sex offender?

Have you ever had a Sozo ministry session before? If so, when?

Have you received counsel from anyone at Heartland Church within the past 12 months?

Yes

If so, who, and for what purpose?