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HOLISTIC CHRISTIAN THERAPIES
Home
Counseling
Success Stories
Women's Bible Study
Live Group Events
Recommended Reading
Healthy Resources
About
Contact
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Application
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Indicates required field
Name
*
First
Last
Age
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Marital or Relationship Status
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How many children do you have?
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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Why are you interested in becoming a Christian Counselor?
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Are you a Christian?
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Yes
No
Are you interested in having your own private counseling ministry?
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Yes
No
Are you interested in ministering to a particular group of people or area of need (i.e., addicts, young men, married couples, eating disorders, etc.)?
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Are you looking to make this your primary source of income?
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Yes
No
Have you ever had counseling yourself?
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Yes
No
Have people told you that you are a good listener?
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Yes
No
How many hours per week would you be able to dedicate to your counseling ministry?
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Please list all previous counseling training or certifications that you have received:
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Have you read the Bible? Describe your relationship with the word of God:
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Do you only feel good if you are doing something productive or achieving something?
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Yes
No
When someone questions you or disagrees with you, do you become deeply irritated, angry, or argumentative?
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Yes
No
Do you struggle with feeling far from God?
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Yes
No
Do you find yourself trying to please God with your behavior?
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Yes
No
Is your worth and value based on how well you do something?
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Yes
No
Do you constantly deal with fear in the form of anxiety, stress, and worry?
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Yes
No
Do you have a hard time figuring out where you are headed in life?
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Yes
No
Do you feel a need to be right in discussions?
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Yes
No
Do you struggle with addictive habits?
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Yes
No
Check all manifestations that currently apply to you:
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Insecurity
Identity issues, Lack of identity
Performance based living
Constant busyness
Identity confusion
Chronic emotional woundedness
Fear, anxiety, worry
Mental illness struggles
Relational walls or masks
Constant relationship separation
Twisted communication
Relational strife
Blaming (i.e., not my fault)
Relationship sabotage
Constant limitations in life
Always feeling ignored/overlooked
Bitterness, resentment, and anger
A hurt that keeps repeating
Discouragement/Depression
Feeling separated from God/Others
Rejecting others before you are rejected
People pleasing tendencies
False responsibility
Excessive striving and overworking
Perfectionism
Excessive neediness
Excessive need for validation
Excessive need for affirmation
Excessive attention getting
Envy and Jealousy
All forms of addictions
Condemnation
Religious legalism
Feeling like an outsider
Guilt and shame
Self-pity
Victim based thinking
Hopelessness
Check all tendencies that currently apply to you:
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Low self-esteem
People pleasing tendencies
Poor boundaries
Reactivity
Caretaking (verses caregiving)
Controlling
Perfectionism
Dysfunctional communication
Difficulty expressing needs
Obsessiveness
Painful emotions (can't process or let go)
Addiction tendencies
Is there anything else you think I should know about you that would qualify you as a counselor?
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The cost for this training is $1,250 plus the cost of books and other course materials. Are you financially able to pay for this training?
*
Yes
No
Please Note:
Only approved and qualified applicates will be invited to participate in the training course.
Submit
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Counseling
Success Stories
Women's Bible Study
Live Group Events
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About
Contact
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